Individual provider Active NPI

Jonathan Mack Barham, M. D.

  • Obstetrics & Gynecology Physician
  • Monroe, LA
National Provider Identifier
1992702641
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
07884R Issued in LA
Practice address
3418 Medical Park Dr
Suite 5
Monroe, LA 71203-2376
Phone
(318) 388-8190
Fax
(318) 329-5981
NPI assigned
Jul 7, 2005
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 07884R LA Primary
Obstetrics & Gynecology Physician 207V00000X F0865 TX

Addresses

Primary practice location

3418 Medical Park Dr
Suite 5
Monroe, LA 71203-2376

Mailing address

3418 Medical Park Dr
Suite 5
Monroe, LA 71203-2376
Phone (318) 388-8190

Other identifiers 1

IdentifierTypeStateIssuer
1394831MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F0865TXMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Greer Neurosurgery Clinic Past Accepting new patients
Hoyle Chiropractic PastSince Oct 1, 2006 Accepting new patients

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": "1120694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1992702641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3418 MEDICAL PARK DR",
            "address_2": "SUITE 5",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712032376",
            "telephone_number": "318-388-8190",
            "fax_number": "318-329-5981"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3418 MEDICAL PARK DR",
            "address_2": "SUITE 5",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712032376",
            "telephone_number": "318-388-8190",
            "fax_number": "318-329-5981"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARHAM",
        "first_name": "JONATHAN",
        "middle_name": "MACK",
        "credential": "M. D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-07",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "LA",
            "license": "07884R",
            "primary": true
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "TX",
            "license": "F0865",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1394831",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Monroe, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.