Individual
DR. BARRY DOUGLAS NEWSOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
701 UNIVERSITY BLVD E, SUITE 808, TUSCALOOSA, AL 35401
(205) 759-5640
(205) 759-5639
Mailing address
2515 YORKTOWN DR, TUSCALOOSA, AL 35406-1662
(205) 550-1297
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
08400
MS
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
12898
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
051539107
—
AL
01
—
07851373
MEDICAID OF MS
MS
01
—
515-39107
BCBS OF AL
AL
01
—
P00378526
RAILROAD MEDICARE PIN
—
Enumeration date
06/01/2006
Last updated
07/02/2018
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