NPI 1295830339 · live from the CMS NPI Registry
Jason Allen Barry, MD
Orthopaedic Surgery, Sports Medicine in Fridley, MN. National Provider Identifier 1295830339, active.
NPI record
| NPI | 1295830339 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Orthopaedic Surgery, Sports Medicine 207XX0005X |
| Practice location | 8290 University Ave Ne, Suite 200, Fridley, MN 55432 |
| Practice phone | 763-786-9543 |
| Mailing address | 4200 Dahlberg Dr, Suite 300, Golden Valley, MN 55422 |
| Enumerated | September 13, 2006 |
| Last updated | August 16, 2024 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Orthopaedic Surgery | 207X00000X | 50475 (MN) |
| Orthopaedic Surgery, Sports Medicine primary | 207XX0005X | 50475 (MN) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.