Provider Demographics
NPI:1417926007
Name:BARBER, ANTHONY RODMAN (MD)
Entity Type:Individual
Prefix:DR
First Name:ANTHONY
Middle Name:RODMAN
Last Name:BARBER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:311 9TH AVENUE DR NE
Mailing Address - Street 2:
Mailing Address - City:HICKORY
Mailing Address - State:NC
Mailing Address - Zip Code:28601-3829
Mailing Address - Country:US
Mailing Address - Phone:828-322-7338
Mailing Address - Fax:828-304-6319
Practice Address - Street 1:311 9TH AVENUE DR NE
Practice Address - Street 2:
Practice Address - City:HICKORY
Practice Address - State:NC
Practice Address - Zip Code:28601-3829
Practice Address - Country:US
Practice Address - Phone:828-322-7338
Practice Address - Fax:828-304-6319
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-16
Last Update Date:2014-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC009901373207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC891229UMedicaid
NC2279595Medicare ID - Type Unspecified
NCA90010Medicare UPIN