Brian Michael Barrett, D.C.

Individual provider Active NPI Neurology Chiropractor · Southampton, NY

NPI 1508004805 · NPPES record last updated Jan 26, 2009

Key facts

NPI
1508004805
Entity type
Individual (NPI type 1)
Primary specialty
Neurology Chiropractor 111NN0400X
License
X004084-1 (NY)
Practice address
176 N Sea Rd
Southampton, NY 11968-2006
Phone
(631) 283-5297
Fax
(631) 283-5385
NPI assigned
Jan 26, 2009
Sex
Male
Sole proprietor
Yes

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
004084NYMDBehavioral Analyst
X004084-1NYMDNeurology Chiropractor

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Chiropractor 111NN0400X X004084-1 NY Yes

Addresses

Primary practice location

176 N Sea Rd
Southampton, NY 11968-2006

Mailing address

176 N Sea Rd
Southampton, NY 11968-2006
Phone (631) 283-5297

Other providers in Southampton, NY

All providers in Southampton, NY · Neurology Chiropractor in New York

Sources for this page

Verify at the official NPI Registry.