Provider Demographics
NPI:1912947060
Name:WARNER, BARRY A (DO)
Entity type:Individual
Prefix:
First Name:BARRY
Middle Name:A
Last Name:WARNER
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 40480
Mailing Address - Street 2:
Mailing Address - City:MOBILE
Mailing Address - State:AL
Mailing Address - Zip Code:36640-0480
Mailing Address - Country:US
Mailing Address - Phone:251-660-5787
Mailing Address - Fax:251-660-5792
Practice Address - Street 1:3301 KNOLLWOOD DR
Practice Address - Street 2:FOUR MEDICAL PARK
Practice Address - City:MOBILE
Practice Address - State:AL
Practice Address - Zip Code:36693-7003
Practice Address - Country:US
Practice Address - Phone:251-660-5787
Practice Address - Fax:251-660-5792
Is Sole Proprietor?:No
Enumeration Date:2006-06-07
Last Update Date:2015-05-11
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
ALDO-166207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism
Provider Identifiers
StateIdentifier IDID TypeIssuer
MS00121722Medicaid
AL51080159OtherBLUE CROSS
AL51593780OtherBCBS - STANTON RD
AL33-10041OtherUNITED HEALTH CARE
AL000080159Medicaid
AL110024692OtherRAILROAD MEDICARE PTAN
AL51593780OtherBCBS - STANTON RD
AL000080159Medicaid