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NPI Code Detail

MEDICARE: KIMBERLY A BARRIE M.D.

MEDICARE: KIMBERLY A BARRIE M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207X00000XOrthopaedic Surgery Physician200100640NC
2207XS0106XOrthopaedic Hand Surgery Physician2001-00640NC
3207XS0106XOrthopaedic Hand Surgery PhysicianME147991FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1396720173
Entity Type Code : Individual
Provider Name (Legal Business Name) : KIMBERLY A BARRIE M.D.
Provider Business Mailing Address
First Line : 565 PONTE VEDRA BLVD
Second Line :
City : PONTE VEDRA BEACH
State : FL
Zip : 32082-2317
Country : US
Telephone Number : 910-709-6743
Fax Number :
Provider Business Practice Location Address
First Line : 3601 SW 160TH AVE STE 250
Second Line :
City : MIRAMAR
State : FL
Zip : 33027-6314
Country : US
Telephone Number : 954-399-4673
Fax Number : 910-484-8824
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/14/2005
Last Update Date : 09/18/2023

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33027-6314
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1083657985 — MS. ANGELA M CRAWFORD MD
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Directions to “ KIMBERLY A BARRIE M.D.” Practice Location

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