Individual provider Active NPI

Nancy Barksdale, MD

  • Pediatrics Physician
  • Redstone Arsenal, AL
National Provider Identifier
1760564249
Registry record updated Jun 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
14638 Issued in AL
Practice address
4100 Goss Rd
Fox Army Health Center(Pediatrics)
Redstone Arsenal, AL 35809-7000
Phone
(256) 955-8888
Fax
(256) 313-3260
NPI assigned
Oct 20, 2006
Last updated
Jun 27, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2025

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 14638 AL Primary

Addresses

Primary practice location

4100 Goss Rd
Fox Army Health Center(Pediatrics)
Redstone Arsenal, AL 35809-7000

Mailing address

4100 Goss Rd
Fox Army Health Center(Credentials)
Redstone Arsenal, AL 35809-7000
Phone (256) 955-6492

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20111028000271 AL Order and Referring Only - Pediatric MedicinePractitioner - Pediatric Medicine 8426221938

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
14638ALMDPediatrics Physician

NPI Registry JSON

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

{
    "created_epoch": "1161302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750982400000",
    "number": "1760564249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4100 GOSS RD",
            "address_2": "FOX ARMY HEALTH CENTER(CREDENTIALS)",
            "city": "REDSTONE ARSENAL",
            "state": "AL",
            "postal_code": "358097000",
            "telephone_number": "256-955-6492",
            "fax_number": "256-842-2019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4100 GOSS RD",
            "address_2": "FOX ARMY HEALTH CENTER(PEDIATRICS)",
            "city": "REDSTONE ARSENAL",
            "state": "AL",
            "postal_code": "358097000",
            "telephone_number": "256-955-8888",
            "fax_number": "256-313-3260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARKSDALE",
        "first_name": "NANCY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-20",
        "last_updated": "2025-06-27",
        "certification_date": "2025-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "AL",
            "license": "14638",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Redstone Arsenal, AL

Sources for this page

Verify at the official NPI Registry.