Provider Demographics
NPI:1083933790
Name:NYE, BARBARA LUDMILA (MD)
Entity Type:Individual
Prefix:
First Name:BARBARA
Middle Name:LUDMILA
Last Name:NYE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:MEDICAL CENTER BLVD DEPARTMENT OF NEUROLOGY
Mailing Address - Street 2:
Mailing Address - City:WINSTON SALEM
Mailing Address - State:NC
Mailing Address - Zip Code:27157-0001
Mailing Address - Country:US
Mailing Address - Phone:336-716-2261
Mailing Address - Fax:336-716-9810
Practice Address - Street 1:MEDICAL CENTER BLVD
Practice Address - Street 2:
Practice Address - City:WINSTON SALEM
Practice Address - State:NC
Practice Address - Zip Code:27157-1000
Practice Address - Country:US
Practice Address - Phone:336-716-2261
Practice Address - Fax:336-716-9810
Is Sole Proprietor?:No
Enumeration Date:2010-05-19
Last Update Date:2022-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH166022084A2900X, 2084N0400X
NC2021-029432084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
No2084A2900XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurocritical Care