Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Jeffrey R Barra, MD

Individual provider Family Medicine Physician · NPI 1679548713

Dr. Jeffrey R Barra, MD is a Family Medicine Physician in Mount Vernon, Illinois. Licensed in Illinois. Registered with an NPI since 2006.

Licensed in
IL
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

5100 Lake Ter NE Ste WC
Mount Vernon, IL 62864-9665
Phone: (618) 899-5001
Fax: (618) 242-5152
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 036107295 (IL)

Record details

NPI number1679548713
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedFebruary 22, 2006
Last updated in NPPESMay 13, 2015
Mailing address5100 Lake Ter Ne, Suite Wc, Mount Vernon, IL 62864-9665

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