Organization Active NPI

Bryan O. Barnett, M.D.

  • Dermatology Physician
  • Tracy, CA
National Provider Identifier
1760913024
Registry record updated Mar 27, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
G49758 Issued in CA
Legal business name
BRYAN O. BARNETT, M.D.
Practice address
1542A N Tracy Blvd
Tracy, CA 95376-2958
Phone
(209) 836-2220
Fax
(209) 836-0726
NPI assigned
Mar 27, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2017

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

Authorized official

Name
Bryan O Barnett, M.D.
Title
Owner
Phone
(209) 836-2220

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207N00000X G49758 CA Primary

Addresses

Primary practice location

1542A N Tracy Blvd
Tracy, CA 95376-2958

Mailing address

1542A N Tracy Blvd
Tracy, CA 95376-2958
Phone (209) 836-2220

National Provider Directory

National Provider Directory

Locations

1542A N Tracy Blvd
Tracy, CA 95376
Phone (209) 836-2220

NPI Registry JSON

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

{
    "created_epoch": "1490572800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1490572800000",
    "number": "1760913024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1542A N TRACY BLVD",
            "city": "TRACY",
            "state": "CA",
            "postal_code": "953762958",
            "telephone_number": "209-836-2220",
            "fax_number": "209-836-0726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1542A N TRACY BLVD",
            "city": "TRACY",
            "state": "CA",
            "postal_code": "953762958",
            "telephone_number": "209-836-2220",
            "fax_number": "209-836-0726"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRYAN O. BARNETT, M.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-27",
        "last_updated": "2017-03-27",
        "status": "A",
        "authorized_official_last_name": "BARNETT",
        "authorized_official_first_name": "BRYAN",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "209-836-2220",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "CA",
            "license": "G49758",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tracy, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.