Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2086S0129X | Vascular Surgeon | 0101043936 | VA |
NPI | 1013988476 |
---|---|
Provider Name | Dr. Gregory Adam Barber |
First Address | Virginia Beach, VA 23462-6565 |
Second Address | Virginia Beach, VA 23462 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/02/2006 |
Last Update Date | 09/07/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
007314035 | (05) | VA |
H85467 | (02) | |
P0027894 | MEDICARE RAILROAD (01) |