Organization Active NPI

David T. Barrall MD, Inc

  • Surgery of the Hand (Plastic Surgery) Physician
  • Providence, RI
National Provider Identifier
1609058460
Registry record updated Dec 3, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery of the Hand (Plastic Surgery) PhysicianTaxonomy code 2082S0105X
License
6060 Issued in RI
Legal business name
DAVID T. BARRALL MD, INC
Practice address
151 Waterman St
Providence, RI 02906-2118
Phone
(401) 274-0700
Fax
(401) 274-0715
NPI assigned
Dec 3, 2007
Last updated
Dec 3, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2007

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

Authorized official

Name
Dr. David Timothy Barrall, MDNPI 1871581389
Title
Physician
Phone
(401) 524-3600

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery of the Hand (Plastic Surgery) Physician 2082S0105X 6060 RI Primary

Addresses

Primary practice location

151 Waterman St
Providence, RI 02906-2118

Mailing address

151 Waterman St
Providence, RI 02906-2118
Phone (401) 274-0700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, RI2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20071219000616 MA Part B Supplier - Clinic/Group Practice 3971693540 Receives reassigned benefits from 1 practitioner
Practice locations: Attleboro, MA
O20190904000257 RI Part B Supplier - Clinic/Group Practice 3971693540 Receives reassigned benefits from 1 practitioner
Practice locations: Providence, RI

National Provider Directory

National Provider Directory

Locations

738 Washington St
South Attleboro, MA 02703
Phone (508) 761-6025

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1196640000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196640000000",
    "number": "1609058460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "151 WATERMAN ST",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029062118",
            "telephone_number": "401-274-0700",
            "fax_number": "401-274-0715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "151 WATERMAN ST",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029062118",
            "telephone_number": "401-274-0700",
            "fax_number": "401-274-0715"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID T. BARRALL MD, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-03",
        "last_updated": "2007-12-03",
        "status": "A",
        "authorized_official_last_name": "BARRALL",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "TIMOTHY",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "401-524-3600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2082S0105X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery, Surgery of the Hand",
            "state": "RI",
            "license": "6060",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Providence, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.