DR. BRIAN BARCZAK (NPI# 1104009398) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104009398 |
| Entity Type | Individual |
| Full Name | DR. BRIAN BARCZAK |
| Credential | M.D. |
| Practice Address |
990 Wilkinson Trce Bowling Green KY 42103-3404 |
| Mailing Address |
201 Park St Bowling Green KY 42101-1759 |
| Practice Telephone | 2707824276 |
| Practice Fax Number | 2707810778 |
| Mailing Telephone | 2707824276 |
| Mailing Fax Number | 2707810778 |
| Enumeration Date | 2007-12-11 |
| Last Update Date | 2016-02-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2084F0202X |
Psychiatry & Neurology Specialization: Forensic Psychiatry |
255992 | NY | Allopathic & Osteopathic Physicians |
| N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
41658 | KY | Allopathic & Osteopathic Physicians |
| Y | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
41658 | KY | Allopathic & Osteopathic Physicians |
| Street Address |
990 WILKINSON TRCE |
| City | BOWLING GREEN |
| State | KY |
| Zip Code | 42103-3404 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639173495 | Hope Havener | Internal Medicine | 990 Wilkinson Trce, Bowling Green, KY 42103-3404 | 2005-06-09 |
| 1033590542 | Chase Andrew Beliles | Family Medicine | 990 Wilkinson Trce, Bowling Green, KY 42103 | 2015-06-11 |
| 1134527328 | Ashley Nicole Allen | Nurse Practitioner | 990 Wilkinson Trce, Bowling Green, KY 42103-3404 | 2014-12-20 |
| 1568889954 | Peter James Gagnon | Physical Therapist | 990 Wilkinson Trce, Suite B1, Bowling Green, KY 42103-3404 | 2014-03-24 |
| 1356785141 | Amy Carter Gearlds | Family Medicine | 990 Wilkinson Trce, Bowling Green, KY 42103-3404 | 2013-04-23 |
| 1710219019 | Southern Kentucky Medicine Associates, LLC | Internal Medicine | 990 Wilkinson Trce, Suite 100, Bowling Green, KY 42103-3404 | 2010-02-11 |
| 1952583551 | Sleep Better, Plc | Durable Medical Equipment & Medical Supplies | 990 Wilkinson Trce, Ste. 201a, Bowling Green, KY 42103-3404 | 2007-12-05 |
| 1710906078 | Natalie L Bryant | Nurse Practitioner | 990 Wilkinson Trce, Bowling Green, KY 42103-3404 | 2006-07-18 |
| 1407847452 | Marc F Hirsch | Family Medicine | 990 Wilkinson Trce, Suite 100, Bowling Green, KY 42103-3404 | 2005-10-31 |
| 1316945314 | Joseph R Allen | Family Medicine | 990 Wilkinson Trce, Bowling Green, KY 42103-3404 | 2005-07-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679127781 | Kw Consulting, LLC | Counselor | 1054 Searcy Way, Suite E, Bowling Green, KY 42103 | 2019-07-26 |
| 1063999662 | Southern Kentucky Surgicenter, LLC | Clinic/Center | 484 Golden Autumn Way, Suite 100, Bowling Green, KY 42103 | 2018-07-26 |
| 1780170936 | Midsouth Psychological Services, LLC | Psychologist | 996 Wilkinson Trce Ste A8, Bowling Green, KY 42103 | 2018-07-10 |
| 1760976146 | Prorehab Inc | Clinic/Center | 1110 Wilkinson Trce Ste 101, Bowling Green, KY 42103 | 2018-06-19 |
| 1063927671 | James Toney | Counselor | 624 Eastwood St, Bowling Green, KY 42103 | 2017-12-05 |
| 1366979528 | Laura Elizabeth Compton | Optometrist | 335 New Towne Drive, Bowling Green, KY 42103 | 2017-05-18 |
| 1033562632 | Elizabette Raby | Massage Therapist | 427 Us-31 Bypass, Suite 203, Bowling Green, KY 42103 | 2016-07-19 |
| 1831572460 | Casey Edward Travelsted | Dentist | 940 Us 31 W Bypass, Bowling Green, KY 42103 | 2015-07-01 |
| 1821435074 | Robert Louis Skaggs II | Dermatology | 1818 Wallace Court, Suite 301, Bowling Green, KY 42103 | 2013-05-29 |
| 1770893257 | Michelle Howell | Health Educator | 261 Moats Lane, Bowling Green, KY 42103 | 2010-10-18 |
| Find all providers in zip 42103 | ||||
| Taxonomy Code | 2084P0804X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Child & Adolescent Psychiatry |
| Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427145275 | Charu Raguvanshi | Psychiatry & Neurology | 350 Park St, Suite 204, Bowling Green, KY 42101-1784 | 2006-10-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306371067 | Mohammed R Movahid | Psychiatry & Neurology | Graduate Medical Education 800 Rose Street Room Hq-101, Lexington, KY 40536-0293 | 2017-05-01 |
| 1336534437 | Nicole I Goodin | Psychiatry & Neurology | 649 Chamberlin Ave, Frankfort, KY 40601-4288 | 2015-04-06 |
| 1356736896 | Tymberly Seim | Psychiatry & Neurology | 200 E Chestnut St Ste 200, Louisville, KY 40202-1847 | 2015-04-01 |
| 1285037713 | Courtney Brown Snyder | Psychiatry & Neurology | 5223 Indian Woods Dr, Louisville, KY 40207-2078 | 2014-09-29 |
| 1629416854 | Ball Consulting, Inc | Psychiatry & Neurology | 732 Greenridge Ln, Louisville, KY 40207-1331 | 2013-06-10 |
| 1467896845 | Andrew Russell Roads | Psychiatry & Neurology | Uk University Health Service, 830 S Limestone, Lexington, KY 40508 | 2013-04-29 |
| 1154458776 | Christine Beate Lieber Adams | Psychiatry & Neurology | 1430 Sylvan Way, Louisville, KY 40205-2484 | 2007-02-28 |
| 1851432199 | Julia M. Robertson | Psychiatry & Neurology | 3 River Hill Rd, Louisville, KY 40207-1191 | 2007-02-09 |
| 1124046552 | Elvira Drljevic Md Psc | Psychiatry & Neurology | 3814 Stone River Ct, Louisville, KY 40299-6543 | 2006-07-17 |
| 1245255504 | Michael Reid Mayo | Psychiatry & Neurology | 250 Alpine Dr, Shelbyville, KY 40065-8880 | 2006-07-13 |
| Find all providers with the same taxonomy | ||||
| City | BOWLING GREEN |
| Zip Code | 42103 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.