Organization Active NPI

David L. Barnes, MD, Apmc

  • Family Medicine Physician
  • Monroe, LA
National Provider Identifier
1053626754
Registry record updated Aug 18, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
DAVID L. BARNES, MD, APMC
Practice address
3400 Medical Park Dr
Suite C
Monroe, LA 71203-2388
Phone
(318) 325-6078
Fax
(318) 324-9694
NPI assigned
Aug 18, 2010
Last updated
Aug 18, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
David Lacy Barnes, M.D.NPI 1063411056
Title
President
Phone
(318) 325-6078

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

3400 Medical Park Dr
Suite C
Monroe, LA 71203-2388

Mailing address

3400 Medical Park Dr
Suite C
Monroe, LA 71203-2388
Phone (318) 325-6078

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100820000624 LA Part B Supplier - Clinic/Group Practice 0143354530 Receives reassigned benefits from 1 practitioner
Practice locations: Monroe, LA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
19D0464240David L Barnes MD3400 Medical Park Drive, Suite C, Monroe, LA 71203Certificate of waiverMar 23, 2028

National Provider Directory

National Provider Directory

Locations

3400 Medical Park Dr
Ste C
Monroe, LA 71203
Phone (318) 325-6078

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1282089600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1282089600000",
    "number": "1053626754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3400 MEDICAL PARK DR",
            "address_2": "SUITE C",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712032388",
            "telephone_number": "318-325-6078",
            "fax_number": "318-324-9694"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3400 MEDICAL PARK DR",
            "address_2": "SUITE C",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712032388",
            "telephone_number": "318-325-6078",
            "fax_number": "318-324-9694"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID L. BARNES, MD, APMC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-18",
        "last_updated": "2010-08-18",
        "status": "A",
        "authorized_official_last_name": "BARNES",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "LACY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "318-325-6078",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monroe, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.