Individual
BRUCE BARKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
801 OHIO HEALTH BLVD STE 160, DELAWARE, OH 43015-7883
(740) 615-0112
(740) 615-0253
Mailing address
5450 FRANTZ RD STE 360, DUBLIN, OH 43016-4141
Taxonomy
Speciality
Code
Description
License number
State
207QB0002X
Obesity Medicine (Family Medicine) Physician
Primary
35.084556
OH
207R00000X
Internal Medicine Physician
35084556B
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0112877
UHC
—
05
—
2370901
—
OH
01
—
311098079
TAX ID
—
01
—
353077
SUBMITTER NO
—
01
—
7257142
AETNA
—
Enumeration date
06/09/2006
Last updated
12/22/2021
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