Individual
BRETT M BARNES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
8414 NAAB RD, INDIANAPOLIS, IN 46260-1972
(317) 338-6399
(317) 338-6359
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
02005906A
IN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000001545954
ANTHEM PTAN
IN
01
—
1102458228
ANTHEM PTAN
IN
05
—
300002430
—
IN
Enumeration date
03/27/2017
Last updated
11/20/2024
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