Active NPI
Marcelino Barreto, M.D.
- Family Medicine Physician
- Gladwin, MI
National Provider Identifier
1174548747
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- MB062536
- Practice address
- 609 Quarter St
Gladwin, MI 48624-1941 - Phone
- (989) 246-6490
- Fax
- (989) 246-6495
- NPI assigned
- Jul 13, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | MB062536 | MI | Primary |
Addresses
Primary practice location
609 Quarter St
Gladwin, MI 48624-1941
Mailing address
609 Quarter St
Gladwin, MI 48624-1941
Phone (989) 246-6371
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3374238 | Medicaid | MI | |
| 0802600042 | Other | MI | BCBS -PIN |
| 4251896 | Medicaid | MA |
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
| License | State | Type | Specialty |
|---|---|---|---|
| MB062536 | MI | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152748800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1346976000000",
"number": "1174548747",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "609 QUARTER ST",
"city": "GLADWIN",
"state": "MI",
"postal_code": "486241941",
"telephone_number": "989-246-6371",
"fax_number": "989-824-6633"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "609 QUARTER ST",
"city": "GLADWIN",
"state": "MI",
"postal_code": "486241941",
"telephone_number": "989-246-6490",
"fax_number": "989-246-6495"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BARRETO",
"first_name": "MARCELINO",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-13",
"last_updated": "2012-09-07",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MI",
"license": "MB062536",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3374238",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS -PIN",
"identifier": "0802600042",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4251896",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Gladwin, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 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.