Provider Demographics
NPI:1386696615
Name:BARNETT, JAMES TALMADGE JR (MD)
Entity type:Individual
Prefix:
First Name:JAMES
Middle Name:TALMADGE
Last Name:BARNETT
Suffix:JR
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:952 ROSE DR
Mailing Address - Street 2:SUITE B
Mailing Address - City:NORTHPORT
Mailing Address - State:AL
Mailing Address - Zip Code:35476-3363
Mailing Address - Country:US
Mailing Address - Phone:205-339-3000
Mailing Address - Fax:205-339-0177
Practice Address - Street 1:952 ROSE DR
Practice Address - Street 2:SUITE B
Practice Address - City:NORTHPORT
Practice Address - State:AL
Practice Address - Zip Code:35476-3363
Practice Address - Country:US
Practice Address - Phone:205-339-3000
Practice Address - Fax:205-339-0177
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-16
Last Update Date:2016-03-09
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
AL14763208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL000024572Medicaid
AL51024572OtherBLUE CROSS BLUE SHIELD
AL009914033Medicaid
AL51544264OtherBCBS OF ALABAMA
ALP00463557OtherRAILROAD MEDICARE
AL51544264OtherBCBS OF ALABAMA
AL009914033Medicaid
AL000024572Medicare ID - Type Unspecified