Provider Demographics
NPI:1477620219
Name:STEELE, BARRY D (MD)
Entity Type:Individual
Prefix:DR
First Name:BARRY
Middle Name:D
Last Name:STEELE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:320 SUPERIOR
Mailing Address - Street 2:#190
Mailing Address - City:NEWPORT BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:92663
Mailing Address - Country:US
Mailing Address - Phone:949-631-4353
Mailing Address - Fax:949-631-8238
Practice Address - Street 1:320 SUPERIOR
Practice Address - Street 2:#190
Practice Address - City:NEWPORT BEACH
Practice Address - State:CA
Practice Address - Zip Code:92663
Practice Address - Country:US
Practice Address - Phone:949-631-4353
Practice Address - Fax:949-631-8238
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-29
Last Update Date:2011-12-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA23117208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
A23399Medicare UPIN