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 NPI 1245224559
Title
Owner/MD
Phone
(318) 352-9880

Authorized official NPPES reports the authorized official by name only; the link goes to the one practitioner connected to this organization with that name.

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Enrolled in LA

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
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)CodeLicenseStatePrimary
Internal Medicine Physician
Group: 193400000X SINGLE SPECIALTY GROUP
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

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on May 11, 2018.

{
    "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

All providers in Natchitoches, LA · Internal Medicine Physician in Louisiana

Sources for this page

Verify at the official NPI Registry.