Provider Demographics
NPI:1699754887
Name:BARGER, ROBERT BRETT (MD)
Entity type:Individual
Prefix:
First Name:ROBERT
Middle Name:BRETT
Last Name:BARGER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 658
Mailing Address - Street 2:
Mailing Address - City:GAINESVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30503-0658
Mailing Address - Country:US
Mailing Address - Phone:770-718-1122
Mailing Address - Fax:770-535-7445
Practice Address - Street 1:725 JESSE JEWELL PKWY SE
Practice Address - Street 2:
Practice Address - City:GAINESVILLE
Practice Address - State:GA
Practice Address - Zip Code:30501-3834
Practice Address - Country:US
Practice Address - Phone:770-297-2200
Practice Address - Fax:770-534-8139
Is Sole Proprietor?:No
Enumeration Date:2006-01-16
Last Update Date:2019-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA047052207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA000825525HMedicaid
GA000825525KMedicaid
GA0701224OtherUNITED HEALTHCARE
GA10045017OtherAMERIGROUP
GA7728639OtherCIGNA
GA7982851OtherAETNA
GA329317OtherWELLCARE
GA0701224OtherUHC
GA000825525DMedicaid
GA000825525IMedicaid
GA52666781OtherBCBS
GAP00214243OtherRR MEDICARE-GRP # CC4177
GA000825525KMedicaid
GA000825525IMedicaid