Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207L00000X | Anesthesiologist | 500008 | NC |
NPI | 1003866591 |
---|---|
Provider Name | Dr. Brian P Barrick |
First Address | Salt Lake City, UT 84127-1647 |
Second Address | Chapel Hill, NC 27599-7010 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/05/2006 |
Last Update Date | 10/10/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
5900805 | (05) | NC |
I29906 | (02) | NC |