Active NPI
O Barry McKinley, MD
- Orthopaedic Surgery Physician
- Berkeley, CA
National Provider Identifier
1558474460
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- G11794
- Practice address
- 2999 Regent St
225
Berkeley, CA 94705-2190 - Phone
- (510) 704-7760
- Fax
- (510) 704-7765
- NPI assigned
- Aug 16, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | G11794 | CA | Primary |
Addresses
Primary practice location
2999 Regent St
225
Berkeley, CA 94705-2190
Mailing address
2999 Regent St
225
Berkeley, CA 94705-2190
Phone (510) 704-7760
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| G11794 | Other | CA | BLUE CROSS |
| 00G117940 | Other | CA | BLUE SHIELD |
| G11794 | Other | CA | STATE LICENSE |
| 00G117940 | Medicaid | CA |
Other names 1
- Barry McKinley
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G11794 | CA | MD | Orthopaedic Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155686400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1369094400000",
"number": "1558474460",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2999 REGENT ST",
"address_2": "225",
"city": "BERKELEY",
"state": "CA",
"postal_code": "947052190",
"telephone_number": "510-704-7760",
"fax_number": "510-704-7765"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2999 REGENT ST",
"address_2": "225",
"city": "BERKELEY",
"state": "CA",
"postal_code": "947052190",
"telephone_number": "510-704-7760",
"fax_number": "510-704-7765"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCKINLEY",
"first_name": "O",
"middle_name": "BARRY",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-16",
"last_updated": "2013-05-21",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "CA",
"license": "G11794",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "G11794",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "00G117940",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "G11794",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00G117940",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "BARRY",
"last_name": "MCKINLEY",
"credential": "MD",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Berkeley, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 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.