Individual provider · NPI-1
Dr. Brian Andrew Bark, M.D.
Anesthesiology · Terre Haute, IN
NPI number1124382072
StatusActive
Last updated in NPPESFeb 1, 2024
Details
- NPI
- 1124382072
- Entity type
- Individual (NPI-1)
- Name
- Dr. Brian Andrew Bark
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jun 26, 2012
- Certification date
- Feb 1, 2024
- Last updated
- Feb 1, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207L00000X | Anesthesiology | 01076003A | IN | Yes |
Practice location
1606 N 7th StTerre Haute, IN 47804-2780
Phone 812-238-7000
Mailing address
3462 Bridlewood LnTerre Haute, IN 47802-9269
Phone 317-790-5879
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