Barry S Barudin, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

4301032178 Issued in MI

Practice address

402 S Baldwin St
Greenville, MI 48838-2103

Phone

(616) 907-7176

NPI assigned

Jun 27, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1151366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1375228800000",
    "number": "1528095585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "402 S BALDWIN ST",
            "city": "GREENVILLE",
            "state": "MI",
            "postal_code": "488382103",
            "telephone_number": "616-907-7176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "402 S BALDWIN ST",
            "city": "GREENVILLE",
            "state": "MI",
            "postal_code": "488382103",
            "telephone_number": "616-907-7176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARUDIN",
        "first_name": "BARRY",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-27",
        "last_updated": "2013-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MI",
            "license": "4301032178",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "WI",
            "license": "37258-020",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Magdalena Babinska-Hogan, MD
• Kirsten Anne Bagin, MA, CCC-SLP
• Jennifer Ann Bain, OTD, OTR/L
• Baldwin Lake Dental PC
• Taylor Barrett
• Wendy E Baty, LPC
• Souhad Bazzi, PHARMD
• Be Still & Be Known Counseling, LLC
• Lauren Michelle Beghtol, DO
• Katherine Marie Behrenwald, PA-C

• All providers in Greenville, MI
• Pediatrics Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.