Individual provider Active NPI

Antonino F. Barbera, MD

  • Obstetrics & Gynecology Physician
  • Breckenridge, CO
National Provider Identifier
1124174701
Registry record updated Oct 5, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
46361 Issued in CO
Practice address
16172 Highway 9
Breckenridge, CO 80424-8959
Phone
(303) 667-1735
NPI assigned
Jan 26, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 46361 CO Primary

Addresses

Primary practice location

16172 Highway 9
Breckenridge, CO 80424-8959

Mailing address

16172 Highway 9
Breckenridge, CO 80424-8959
Phone (303) 667-1735

Other identifiers 1

IdentifierTypeStateIssuer
08457867MedicaidCO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
46361COMDObstetrics & Gynecology Physician

NPI Registry JSON

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

{
    "created_epoch": "1169769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1349395200000",
    "number": "1124174701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16172 HIGHWAY 9",
            "city": "BRECKENRIDGE",
            "state": "CO",
            "postal_code": "804248959",
            "telephone_number": "303-667-1735"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16172 HIGHWAY 9",
            "city": "BRECKENRIDGE",
            "state": "CO",
            "postal_code": "804248959",
            "telephone_number": "303-667-1735"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARBERA",
        "first_name": "ANTONINO",
        "middle_name": "F.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-26",
        "last_updated": "2012-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "CO",
            "license": "46361",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "08457867",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Breckenridge, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2012; 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.