MEDICARE: DR. BARRY J BIEBER MD

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	207VX0000X	Obstetrics Physician	14932R	LA

Other Identifiers

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

General Provider Information

NPI Number	:	1750387650
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. BARRY J BIEBER MD

Provider Business Mailing Address
First Line	:	3302 MASONIC DR
Second Line	:	SUITE 4002
City	:	ALEXANDRIA
State	:	LA
Zip	:	71301-4255
Country	:	US
Telephone Number	:	318-445-3636
Fax Number	:	318-445-1818

Provider Business Practice Location Address
First Line	:	3302 MASONIC DR
Second Line	:	SUITE 4002
City	:	ALEXANDRIA
State	:	LA
Zip	:	71301-4255
Country	:	US
Telephone Number	:	318-445-3636
Fax Number	:	318-445-1818

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

Provider Enumeration Date	:	06/24/2005
Last Update Date	:	03/16/2011

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