Provider Demographics
NPI:1437113982
Name:BARNES, CAMERON R (MD)
Entity Type:Individual
Prefix:DR
First Name:CAMERON
Middle Name:R
Last Name:BARNES
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 1:9101 STONY POINT DR
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23235
Mailing Address - Country:US
Mailing Address - Phone:804-330-9105
Mailing Address - Fax:804-287-6119
Practice Address - Street 1:9101 STONY POINT DR
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23235
Practice Address - Country:US
Practice Address - Phone:804-330-9105
Practice Address - Fax:804-287-6119
Is Sole Proprietor?:No
Enumeration Date:2006-04-13
Last Update Date:2020-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101 225838208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA1437113982OtherMEDICARE - NPI
VA7585426OtherAETNA PPO
VA219622OtherSOUTHERN HEALTH
VAP00059967OtherRAILROAD MEDICARE
VA51396OtherCARENET
VACC6581OtherRAILROAD MEDICARE GROUP #
VAC06623OtherMEDICARE GROUP #
VA1900681OtherUNITED HEALTHCARE
VA2114417OtherALLIANCE
VA3120221OtherAETNA HMO
VA72273OtherSENTARA FAMILY CARE
VA29786OtherCIGNA
VA007502257Medicaid
VAC06623OtherMEDICARE GROUP #