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NPI Code Detail

MEDICARE: DR. BRENT A BARROW M.D.

MEDICARE: DR. BRENT A BARROW 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
12085R0202XDiagnostic Radiology PhysicianMD26894TN

Other Identifiers

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

General Provider Information

NPI Number : 1922084748
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. BRENT A BARROW M.D.
Provider Business Mailing Address
First Line : 2001 LAUREL AVE # N304
Second Line :
City : KNOXVILLE
State : TN
Zip : 37916-1810
Country : US
Telephone Number : 865-766-6870
Fax Number :
Provider Business Practice Location Address
First Line : 2305 CHAMBLISS AVE NW
Second Line :
City : CLEVELAND
State : TN
Zip : 37311-3847
Country : US
Telephone Number : 657-666-8708
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/22/2005
Last Update Date : 03/07/2023

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Directions to “ DR. BRENT A BARROW M.D.” Practice Location

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