Organization Active NPI

Robert D Barger, MD, PC

  • Psychiatry Physician
  • Traverse City, MI
National Provider Identifier
1104091230
Registry record updated Apr 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
4301059861 Issued in MI
Legal business name
ROBERT D BARGER, MD, PC
Practice address
4020 Copper VW Ste 118
Traverse City, MI 49684-7041
Phone
(231) 935-1885
Fax
(231) 935-1886
NPI assigned
Apr 29, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2008

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

Authorized official

Name
Robert D Barger, MD
Title
Owner
Phone
(231) 935-1885

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X 4301059861 MI Primary

Addresses

Primary practice location

4020 Copper VW Ste 118
Traverse City, MI 49684-7041

Mailing address

4020 Copper VW Ste 118
Traverse City, MI 49684-7041
Phone (231) 935-1885

Other identifiers 2

IdentifierTypeStateIssuer
7000022012OtherPRIORITY HEALTH
2602810371OtherMIBLUE CROSS BLUE SHIELD OF MI

National Provider Directory

National Provider Directory

Locations

4020 Copper Vw
Ste 118
Traverse City, MI 49684
Phone (231) 935-0352

NPI Registry JSON

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

{
    "created_epoch": "1209427200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209427200000",
    "number": "1104091230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4020 COPPER VW STE 118",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496847041",
            "telephone_number": "231-935-1885",
            "fax_number": "231-935-1886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4020 COPPER VW STE 118",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496847041",
            "telephone_number": "231-935-1885",
            "fax_number": "231-935-1886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT D BARGER, MD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-29",
        "last_updated": "2008-04-29",
        "status": "A",
        "authorized_official_last_name": "BARGER",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "231-935-1885",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MI",
            "license": "4301059861",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PRIORITY HEALTH",
            "identifier": "7000022012",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD OF MI",
            "identifier": "2602810371",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Traverse City, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.