MEDICARE: DR. BARRY GRANT PERKINS 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
1	207RG0100X	Gastroenterology Physician	22712	OK

General Provider Information

NPI Number	:	1427033844
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. BARRY GRANT PERKINS M.D.

Provider Business Mailing Address
First Line	:	608 NW 9TH ST
Second Line	:	SUITE 3206
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73102-1068
Country	:	US
Telephone Number	:	405-772-4338
Fax Number	:	405-772-4339

Provider Business Practice Location Address
First Line	:	608 NW 9TH ST
Second Line	:	SUITE 3206
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73102-1068
Country	:	US
Telephone Number	:	405-772-4338
Fax Number	:	405-772-4339

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/08/2005
Last Update Date	:	08/17/2023

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