Barry a. Koffler, M.D., P.C.

Primary specialty

SpecialistTaxonomy code 174400000X

License

019540 Issued in GA

Legal business name

BARRY A. KOFFLER, M.D., P.C.

Practice address

1295 Hembree Rd
Suite 200 a
Roswell, GA 30076-5721

Phone

(770) 475-1279

Fax

(770) 442-5444

NPI assigned

Oct 28, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Barry A. Koffler, M.D.

Title

President

Phone

(770) 475-1279

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1225152000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1225152000000",
    "number": "1871746305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1295 HEMBREE RD",
            "address_2": "SUITE 200 A",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300765721",
            "telephone_number": "770-475-1279",
            "fax_number": "770-442-5444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1295 HEMBREE RD",
            "address_2": "SUITE 200 A",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300765721",
            "telephone_number": "770-475-1279",
            "fax_number": "770-442-5444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BARRY A. KOFFLER, M.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-28",
        "last_updated": "2008-10-28",
        "status": "A",
        "authorized_official_last_name": "KOFFLER",
        "authorized_official_first_name": "BARRY",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "770-475-1279",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "GA",
            "license": "019540",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sowmya Barrela, M.D.
• Zachary Barren
• Myah Barrerra, RBT
• Elaine Bryant Barron, MASTER SOCIAL WORKER
• Tania A Barroso, M.D.
• Caitlin Barton, OTR/L
• Jennifer Barton, OTRL
• Allison Zito Basham, M.A., LPC
• Alice Blair Bass, MT-BC
• Amanda Bass, PHARMD

• Specialist in Roswell, GA
• Providers in Roswell, GA by specialty
• Specialist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2008; 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.