Individual provider Active NPI

Laura Marie Pomeroy Barber, M.D.

  • Pediatrics Physician
  • Pensacola, FL
National Provider Identifier
1750537007
Registry record updated Oct 22, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
ME108381 Issued in FL
Practice address
2120 E Johnson Ave
Suite 103
Pensacola, FL 32514-6036
Phone
(850) 494-3965
NPI assigned
Aug 18, 2008
Last updated
Oct 22, 2010By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 22, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X ME108381 FL Primary

Addresses

Primary practice location

2120 E Johnson Ave
Suite 103
Pensacola, FL 32514-6036

Mailing address

2120 E Johnson Ave
Suite 103
Pensacola, FL 32514-6036
Phone (850) 494-3965

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101221000433 FL Practitioner - Pediatric Medicine 6709074503 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME108381FLMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pensacola Primary Care Inc Pediatrics CurrentSince Nov 3, 2010 Accepting new patients
Pensacola Primary Care Inc CurrentSince Nov 3, 2010 Accepting new patients

Locations

1190 E Nine Mile Rd
Pensacola, FL 32514
Phone (850) 474-8771

2120 E Johnson Ave
Ste 103
Pensacola, FL 32514
Phone (850) 494-3965

8333 N Davis Hwy
Pensacola, FL 32514
Phone (850) 474-8000

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1219017600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1287705600000",
    "number": "1750537007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2120 E JOHNSON AVE",
            "address_2": "SUITE 103",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325146036",
            "telephone_number": "850-494-3965"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2120 E JOHNSON AVE",
            "address_2": "SUITE 103",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325146036",
            "telephone_number": "850-494-3965"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARBER",
        "first_name": "LAURA",
        "middle_name": "MARIE POMEROY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-08-18",
        "last_updated": "2010-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME108381",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pensacola, FL

Sources for this page

Verify at the official NPI Registry.