Active NPI
Donald W Barham, M.D.
- Ophthalmology Physician
- Dothan, AL
National Provider Identifier
1568674166
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 7566
- Legal business name
- DONALD W BARHAM, M.D.
- Practice address
- 1750 W Main St
Dothan, AL 36301-1318 - Phone
- (334) 793-1070
- Fax
- (334) 793-5114
- NPI assigned
- May 4, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Donald W Barham, MD
- Title
- Owner
- Phone
- (334) 793-1070
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 7566 | AL | Primary |
Addresses
Primary practice location
1750 W Main St
Dothan, AL 36301-1318
Mailing address
1750 W Main St
Dothan, AL 36301
Phone (334) 793-1070
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00012585 | Medicaid | AL | |
| 51012585 | Other | AL | BCBS |
| 00261137A | Medicaid | GA |
National Provider Directory
National Provider DirectoryLocations
1750 W Main St
Dothan, AL 36301
Phone (334) 793-1070
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Ophthalmology Physician
- Enterprise, AL
- NPI 1619065083
-
- Ophthalmology Physician
- Mobile, AL
- NPI 1538154968
-
- Ophthalmology Physician
- Panama City, FL
- NPI 1225096183
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178236800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1568674166",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1750 W MAIN ST",
"city": "DOTHAN",
"state": "AL",
"postal_code": "36301",
"telephone_number": "334-793-1070",
"fax_number": "334-793-5114"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1750 W MAIN ST",
"city": "DOTHAN",
"state": "AL",
"postal_code": "363011318",
"telephone_number": "334-793-1070",
"fax_number": "334-793-5114"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DONALD W BARHAM, M.D.",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-04",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "BARHAM",
"authorized_official_first_name": "DONALD",
"authorized_official_middle_name": "W",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "334-793-1070",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Ophthalmology",
"state": "AL",
"license": "7566",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00012585",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "51012585",
"state": "AL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00261137A",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Dothan, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.