Barksdale, Bryan

Barksdale, Bryan is an individual health care provider with primary practice located at 2500 N State St Dept Of Medicine/Division Of Cardiology, Jackson MS 39216-4500. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Interventional Cardiology, Allopathic & Osteopathic Physicians / Cardiovascular Disease. Allopathic & Osteopathic Physicians / Cardiovascular Disease is his primary health care specialty. Barksdale, Bryan can be contacted via phone (601) 984-5687.

Contact Information

Primary practice address
2500 N State St Dept Of Medicine/Division Of Cardiology Jackson MS 39216-4500
Phone: (601) 984-5687
Fax: (601) 984-5638
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Interventional Cardiology 207RI0011X 06380 Mississippi
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 06380 Mississippi

Profile Details

NPI number 1083663876
LBN Legal business name Barksdale, Bryan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 9th, 2006
Last updated Apr 11th, 2019 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1083663876 NPPES
Mississippi MEDICAID 00115734
Mississippi Other P00615907
Mississippi Other 060021371
Mississippi MEDICAID 1587451

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