Provider Demographics
NPI:1215252770
Name:BARNWELL, JONATHAN CHRISTOPHER (MD)
Entity type:Individual
Prefix:DR
First Name:JONATHAN
Middle Name:CHRISTOPHER
Last Name:BARNWELL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:3010 N CIRCLE DR
Mailing Address - Street 2:STE 100
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80909-1174
Mailing Address - Country:US
Mailing Address - Phone:719-473-3332
Mailing Address - Fax:719-776-4750
Practice Address - Street 1:3010 N CIRCLE DR
Practice Address - Street 2:STE 100
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80909-1174
Practice Address - Country:US
Practice Address - Phone:719-473-3332
Practice Address - Fax:719-776-4750
Is Sole Proprietor?:Yes
Enumeration Date:2010-03-28
Last Update Date:2016-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CODR.0056907207X00000X
390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program