MEDICARE: BRYAN R BARGER CRNA

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	367500000X	Certified Registered Nurse Anesthetist	13032	OH

General Provider Information

NPI Number	:	1427329895
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BRYAN R BARGER CRNA

Provider Business Mailing Address
First Line	:	2830 VICTORY PKWY
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45206-1785
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	234 GOODMAN STREET
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45263-2364
Country	:	US
Telephone Number	:	513-872-7100
Fax Number	:

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

Provider Enumeration Date	:	01/18/2012
Last Update Date	:	12/28/2021

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