Individual
DR. BENNETT R BARRIOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
201 S 68TH STREET PL, SUITE 100, LINCOLN, NE 68510-2496
(402) 327-7300
(402) 327-7392
Mailing address
PO BOX 6951, LINCOLN, NE 68506-0951
(402) 904-7135
(402) 904-7175
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
21750
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
07104
BCBS OF NE
NE
01
—
233831
COVENTRY HEALTH CARE
—
01
—
77063443668510A002
TRI WEST
—
01
—
P00223632
RAILROAD MEDICARE
—
Enumeration date
07/24/2006
Last updated
06/16/2017
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