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NPI Code Detail

MEDICARE: DR. BRUCE ALAN BARKER DO

MEDICARE: DR. BRUCE ALAN BARKER DO
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
1207P00000XEmergency Medicine PhysicianL7305TX
2207Q00000XFamily Medicine PhysicianL7305TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
28CW948OTHERTXBCBS-TX
31548248461OTHERTRICARE SOUTH

General Provider Information

NPI Number : 1548248461
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. BRUCE ALAN BARKER DO
Provider Business Mailing Address
First Line : PO BOX 2660
Second Line :
City : BAY CITY
State : TX
Zip : 77404-2660
Country : US
Telephone Number : 979-323-9752
Fax Number : 979-323-9757
Provider Business Practice Location Address
First Line : 2205 AVENUE K
Second Line :
City : BAY CITY
State : TX
Zip : 77414-5128
Country : US
Telephone Number : 979-323-9752
Fax Number : 979-323-9757
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/03/2006
Last Update Date : 02/06/2023

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Directions to “ DR. BRUCE ALAN BARKER DO” Practice Location

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