1003603358 NPI number — BONNIE CLAIRE-KAMEI BARKLEY PA-S

Table of content: BONNIE CLAIRE-KAMEI BARKLEY PA-S (NPI 1003603358)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1003603358 NPI number — BONNIE CLAIRE-KAMEI BARKLEY PA-S

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
BARKLEY
Provider First Name:
BONNIE
Provider Middle Name:
CLAIRE-KAMEI
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
PA-S
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1003603358
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
04/21/2025
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
127 S 19TH ST
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
PITTSBURGH
Provider Business Mailing Address State Name:
PA
Provider Business Mailing Address Postal Code:
15203-1850
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
540-847-9193
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
4494 PALMER RD N WALTER REED NATIONAL MEDICAL CENTER
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
BETHESDA
Provider Business Practice Location Address State Name:
MD
Provider Business Practice Location Address Postal Code:
20889-0001
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
561-859-6888
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
04/21/2025

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 390200000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)