Barnum Internal Medicine
Organization Active NPI Internal Medicine Physician · Natchitoches, LA
NPI 1316437643 · NPPES record last updated May 11, 2018
Key facts
- NPI
- 1316437643
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Internal Medicine Physician 207R00000X
- Legal business name
- BARNUM INTERNAL MEDICINE
- Practice address
- 1029 Keyser Ave Ste H
Natchitoches, LA 71457-6215 - Phone
- (318) 238-9880
- NPI assigned
- May 11, 2018
- Organization subpart
- No
Authorized official
- Name
- Otis Barnum, MD
- Title
- Owner/MD
- Phone
- (318) 352-9880
Practitioners 2
-
Otis R Barnum, DO
-
Margaret Manger Barnum, N.P.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in LA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20180618000803 | LA | Part B Supplier - Clinic/Group Practice | 7214282185 |
Receives reassigned benefits from 2 practitioners Practice locations: Natchitoches, LA |
National Provider Directory
Locations
1029 Keyser Ave
Ste H
Natchitoches, LA 71457
Phone (318) 238-9880
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician |
207R00000X | Yes |
Addresses
Primary practice location
1029 Keyser Ave Ste H
Natchitoches, LA 71457-6215
Mailing address
PO Box 7318
Natchitoches, LA 71457-0318
Phone (318) 352-9880
NPI Registry JSON
{
"created_epoch": "1525996800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1525996800000",
"number": "1316437643",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 7318",
"city": "NATCHITOCHES",
"state": "LA",
"postal_code": "714570318",
"telephone_number": "318-352-9880"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1029 KEYSER AVE STE H",
"city": "NATCHITOCHES",
"state": "LA",
"postal_code": "714576215",
"telephone_number": "318-238-9880"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BARNUM INTERNAL MEDICINE",
"organizational_subpart": "NO",
"enumeration_date": "2018-05-11",
"last_updated": "2018-05-11",
"status": "A",
"authorized_official_last_name": "BARNUM",
"authorized_official_first_name": "OTIS",
"authorized_official_title_or_position": "OWNER/MD",
"authorized_official_telephone_number": "318-352-9880",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Natchitoches, LA
- Laura Sklar Bain
- Willliam A Ball Jr.
- Cindy Baptiste
- Leron Baptiste
- Barney Barnhill
- Margaret Manger Barnum
- Otis R Barnum
- Jennifer Barrow
- Sharon R. Beard
- Carolyn Beaudion
All providers in Natchitoches, LA · Internal Medicine Physician in Louisiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 11, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.