MEDICARE: DR. JAMES PETER BARRETT DPM

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	213E00000X	Podiatrist	SC004092L	PA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier Issuer
1	03010300	OTHER	CAPITAL BLUE CROSS
2	03010300	OTHER	KEYSTONE HEALTH PLAN CENT
3	1378631	OTHER	HIGHMARK BLUE SHIELD
4	480928	OTHER	HIGHMARK BLUE SHIELD

General Provider Information

NPI Number	:	1437157336
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JAMES PETER BARRETT DPM

Provider Business Mailing Address
First Line	:	1719 PENN AVENUE
Second Line	:
City	:	READING
State	:	PA
Zip	:	19609
Country	:	US
Telephone Number	:	610-376-4880
Fax Number	:	610-376-1344

Provider Business Practice Location Address
First Line	:	1719 PENN AVENUE
Second Line	:
City	:	READING
State	:	PA
Zip	:	19609
Country	:	US
Telephone Number	:	610-376-4880
Fax Number	:	610-376-1344

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

Provider Enumeration Date	:	07/13/2005
Last Update Date	:	01/06/2014

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