Individual provider Active NPI

David M Barclay, MD

  • Family Medicine Physician
  • Philadelphia, PA
National Provider Identifier
1396733325
Registry record updated Aug 17, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD061309L Issued in PA
Practice address
166 W Lehigh Ave
#4
Philadelphia, PA 19133-3849
Phone
(215) 634-5272
Fax
(215) 634-5271
NPI assigned
Oct 13, 2005
Last updated
Aug 17, 2011By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 17, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD061309L PA Primary

Addresses

Primary practice location

166 W Lehigh Ave
#4
Philadelphia, PA 19133-3849

Mailing address

166 W Lehigh Ave
#4
Philadelphia, PA 19133-3849
Phone (215) 634-5272

Other identifiers 1

IdentifierTypeStateIssuer
0016309100002MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, NJ2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20031202000083 PA Practitioner - Family Practice 0042115289 Reassigns benefits to 1 organization
Practice locations: Philadelphia, PA
I20211123000715 NJ Practitioner - Internal MedicinePractitioner - Family PracticePractitioner - Addiction Medicine 0042115289 Practice locations: Rio Grande, NJ

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD061309LPAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Prevention Point Philadelphia Family Medicine CurrentSince Aug 14, 2024 Accepting new patients
Temple University of the Commonwealth System of Higher Education Family Medicine Past Accepting new patients

Locations

2913 Kensington Ave
Philadelphia, PA 19134
Phone (215) 320-6187

Interoperability endpoints

  • Direct secure messaging: david.barclay.iii.1@29449.direct.athenahealth.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1129161600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1313539200000",
    "number": "1396733325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "166 W LEHIGH AVE",
            "address_2": "#4",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191333849",
            "telephone_number": "215-634-5272",
            "fax_number": "215-634-5271"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "166 W LEHIGH AVE",
            "address_2": "#4",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191333849",
            "telephone_number": "215-634-5272",
            "fax_number": "215-634-5271"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARCLAY",
        "first_name": "DAVID",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-13",
        "last_updated": "2011-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD061309L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0016309100002",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.