William Michael Barr, MD
Individual provider Active NPI General Practice Physician · Clarksdale, MS
NPI 1811061450 · NPPES record last updated Jun 12, 2023
Key facts
- NPI
- 1811061450
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Physician 208D00000X
- License
- 10848 (MS)
- Practice address
- 1800 Cheryl Street
Clarksdale, MS 38614 - Phone
- (662) 624-8511
- Fax
- (662) 627-1002
- NPI assigned
- Nov 17, 2006
- Sex
- Male
- 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
- Credentials
- Doctor of Medicine
Interoperability endpoints
- william.barr.1@14285.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | 10848 | MS | Yes |
Addresses
Primary practice location
1800 Cheryl Street
Clarksdale, MS 38614
Mailing address
1800 Cheryl St
Clarksdale, MS 38614-7219
Phone (662) 483-1488
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00013461 | Medicaid | MS | |
| 110901001 | Medicaid | AR | |
| 2L0374 | Other | MS | MEDICARE |
Other names
- William Michael Barr
Other providers in Clarksdale, MS
- Malcolm Douglas Bailey
- Rodney William Baine
- Antwaia Baker
- Casandra Banks
- Jccee M Barney
- Willie George Bays II
- Vikram Reddy Beemidi
- Dana Bell
- G D Berryhill Jr.
- Bethesda Resources Inc
All providers in Clarksdale, MS · General Practice Physician in Mississippi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 12, 2023. 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.