Provider Demographics
NPI:1376747444
Name:BARBER, ANTHONY S (DO)
Entity Type:Individual
Prefix:DR
First Name:ANTHONY
Middle Name:S
Last Name:BARBER
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:4895 RIVERBEND RD
Mailing Address - Street 2:SUITE A
Mailing Address - City:BOULDER
Mailing Address - State:CO
Mailing Address - Zip Code:80301-2640
Mailing Address - Country:US
Mailing Address - Phone:720-279-9098
Mailing Address - Fax:720-540-4250
Practice Address - Street 1:4895 RIVERBEND RD
Practice Address - Street 2:SUITE A
Practice Address - City:BOULDER
Practice Address - State:CO
Practice Address - Zip Code:80301-2640
Practice Address - Country:US
Practice Address - Phone:720-279-9098
Practice Address - Fax:720-540-4250
Is Sole Proprietor?:No
Enumeration Date:2007-06-13
Last Update Date:2015-11-30
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CODR00556382084S0012X
IL361297462084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084S0012XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologySleep Medicine
No2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
COOTH000Medicare UPIN