Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080N0001X | Neonatal-Perinatal Doctor | 109502 | LA |
NPI | 1003858523 |
---|---|
Provider Name | Dr. Brian Barkemeyer |
First Address | Metairie, LA 70005-1739 |
Second Address | New Orleans, LA 70118-5720 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/06/2006 |
Last Update Date | 12/05/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00121989 | (05) | MS |
1902896 | (05) | LA |
E49736 | (02) | LA |