Debra Beverley Barnes, D.C.
Individual provider Active NPI Chiropractor · Brandon, MS
NPI 1689768046 · NPPES record last updated Jul 9, 2007
Key facts
- NPI
- 1689768046
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- 1025 (MS)
- Practice address
- 1090 Lake Village Cir
Suite a
Brandon, MS 39047-6761 - Phone
- (601) 919-8800
- Fax
- (601) 919-8808
- NPI assigned
- Oct 2, 2006
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 1025 | MS | Yes |
Addresses
Primary practice location
1090 Lake Village Cir
Suite a
Brandon, MS 39047-6761
Mailing address
1090 Lake Village Cir
Suite a
Brandon, MS 39047-6761
Phone (601) 919-8800
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00125521 | Medicaid | MS |
Other providers in Brandon, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 9, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.