Patrece Antoinette Barker, D.O., M.S.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

125.084423 Issued in IL

Practice address

815 Main St Ste C
Peoria, IL 61602-1080

Phone

(309) 672-4986

Fax

(309) 672-4790

NPI assigned

Sep 23, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Patrece Anotinette Branch Former name

Medicare fee-for-service enrollment

Enrolled in IL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy, Master of Science

State licenses

Interoperability endpoints

• Direct secure messaging: pbarkerdo411998@carlehiedirect.net

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

{
    "created_epoch": "1663891200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719273600000",
    "number": "1083337141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2401 W ALTA RD APT 3207",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616154613",
            "telephone_number": "806-382-8327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "815 MAIN ST STE C",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616021080",
            "telephone_number": "309-672-4986",
            "fax_number": "309-672-4790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARKER",
        "first_name": "PATRECE",
        "middle_name": "ANTOINETTE",
        "credential": "D.O., M.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-23",
        "last_updated": "2024-06-25",
        "certification_date": "2024-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "125.084423",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PATRECE",
            "last_name": "BRANCH",
            "middle_name": "ANOTINETTE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Julie Lynn Barclay, FNP-C
• Marjorie Lee Bard, LMT
• Kelli Barisch
• Michael C Barisch
• Lisa T Barker, M.D.
• Samar S Barlota, LPC
• Carol Anne Barlow, PHARMD
• Mandy Barlow, APN
• Zoe Kenausis Barlow, PHARMD
• Tiffany Barnard

• Family Medicine Physician in Peoria, IL
• Providers in Peoria, IL by specialty
• Family Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.