Individual
DR. BRYAN BARKSDALE
Active
Individual
DR. BRYAN BARKSDALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
06380
MS
207RI0011X
Interventional Cardiology Physician
06380
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00115734
—
MS
01
—
060021371
RAILROAD MEDICARE
MS
05
—
1587451
—
LA
01
—
P00615907
RAILROAD
MS
Enumeration date
05/09/2006
Last updated
04/11/2019
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