| Bruce W Barton, M.d., Inc | |
|
201 4th St Ste 3d Alexandria LA 71301-8421 | |
| (318) 473-9701 | |
| Not Available |
| Full Name | Bruce W Barton, M.d., Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 201 4th St Ste 3d, Alexandria, Louisiana |
| Authorized Official Name and Position | Bruce W Barton (PRESIDENT) |
| Authorized Official Contact | 3184739701 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bruce W Barton, M.d., Inc 301 Fourth Street Box 30152 Alexandria LA 71301-8421 Ph: (318) 473-9701 | Bruce W Barton, M.d., Inc 201 4th St Ste 3d Alexandria LA 71301-8421 Ph: (318) 473-9701 |
| NPI Number | 1750718169 |
|---|---|
| Provider Enumeration Date | 09/30/2013 |
| Last Update Date | 02/02/2021 |
| Medicare PECOS PAC ID | 2668602608 |
|---|---|
| Medicare Enrollment ID | O20140313000289 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750718169 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | MD.017897 (Louisiana) | Primary |
| Provider Name | Bruce Barton |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003876731 PECOS PAC ID: 4587637327 Enrollment ID: I20081111000372 |
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