Provider Demographics
NPI:1538110085
Name:BARCLAY, BRIANA RENEE (MD)
Entity type:Individual
Prefix:
First Name:BRIANA
Middle Name:RENEE
Last Name:BARCLAY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:BRIANA
Other - Middle Name:RENEE
Other - Last Name:BENNING
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:5350 EASTERN AVE
Mailing Address - Street 2:
Mailing Address - City:DAVENPORT
Mailing Address - State:IA
Mailing Address - Zip Code:52807-2709
Mailing Address - Country:US
Mailing Address - Phone:563-355-1853
Mailing Address - Fax:563-359-1512
Practice Address - Street 1:5350 EASTERN AVE
Practice Address - Street 2:
Practice Address - City:DAVENPORT
Practice Address - State:IA
Practice Address - Zip Code:52807-2709
Practice Address - Country:US
Practice Address - Phone:563-355-1853
Practice Address - Fax:563-359-1512
Is Sole Proprietor?:No
Enumeration Date:2006-05-12
Last Update Date:2014-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI46668-020207V00000X
IA36839207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology