Provider Demographics
NPI:1992774038
Name:BARBER, DAVID TORRANCE (MD)
Entity type:Individual
Prefix:
First Name:DAVID
Middle Name:TORRANCE
Last Name:BARBER
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 5545
Mailing Address - Street 2:
Mailing Address - City:LAFAYETTE
Mailing Address - State:IN
Mailing Address - Zip Code:47903-5545
Mailing Address - Country:US
Mailing Address - Phone:765-448-8000
Mailing Address - Fax:765-448-8335
Practice Address - Street 1:1 OAKVIEW DR
Practice Address - Street 2:
Practice Address - City:MONTICELLO
Practice Address - State:IN
Practice Address - Zip Code:47960-1561
Practice Address - Country:US
Practice Address - Phone:765-448-8000
Practice Address - Fax:765-448-8335
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-03-14
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN01049439A207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN10824743OtherCAQH NUMBER
IN9396821OtherPHCS PID NUMBER
IN000000175790OtherANTHEM PROVIDER NUMBER
IN199190IMedicare PIN
IN815510ZZMedicare PIN
IN000000175790OtherANTHEM PROVIDER NUMBER
IN10824743OtherCAQH NUMBER
IN9396821OtherPHCS PID NUMBER
IN815500B2Medicare PIN
IN921480EMedicare PIN