Provider Demographics
NPI:1750387650
Name:BIEBER, BARRY J (MD)
Entity type:Individual
Prefix:DR
First Name:BARRY
Middle Name:J
Last Name:BIEBER
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:3302 MASONIC DR
Mailing Address - Street 2:SUITE 4002
Mailing Address - City:ALEXANDRIA
Mailing Address - State:LA
Mailing Address - Zip Code:71301-4255
Mailing Address - Country:US
Mailing Address - Phone:318-445-3636
Mailing Address - Fax:318-445-1818
Practice Address - Street 1:3302 MASONIC DR
Practice Address - Street 2:SUITE 4002
Practice Address - City:ALEXANDRIA
Practice Address - State:LA
Practice Address - Zip Code:71301-4255
Practice Address - Country:US
Practice Address - Phone:318-445-3636
Practice Address - Fax:318-445-1818
Is Sole Proprietor?:No
Enumeration Date:2005-06-24
Last Update Date:2011-03-16
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Provider Licenses
StateLicense IDTaxonomies
LA14932R207VX0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VX0000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyObstetrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1152315Medicaid
LA4M267CF65Medicare PIN