Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 204D00000X | Neuromusculoskeletal Medicine (NMM) | 154 | AL |
N | 213EP0504X | Public Medicine | 154 | AL |
N | 213EP1101X | Primary Podiatric Medicine | 154 | AL |
N | 111NR0200X | Radiology | 154 | AL |
N | 213ER0200X | Radiology | 154 | AL |
N | 2081S0010X | Sports Medicine | 154 | AL |
N | 213ES0000X | Sports Medicine | 154 | AL |
Y | 213ES0103X | Foot & Ankle Surgery | 154 | AL |
N | 213ES0131X | Foot Surgery | 154 | AL |
NPI | 1700967924 |
---|---|
Provider Name | Darron Barrus |
First Address | Alabaster, AL 35007 |
Second Address | Alabaster, AL 35007-8767 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 17/10/2006 |
Last Update Date | 19/08/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
U57771 | (02) | AL |