Provider Demographics
NPI:1497796387
Name:INMAN, BARRY E (MDA)
Entity Type:Individual
Prefix:
First Name:BARRY
Middle Name:E
Last Name:INMAN
Suffix:
Gender:M
Credentials:MDA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:50 SCHENCK PKWY
Mailing Address - Street 2:
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28803-3499
Mailing Address - Country:US
Mailing Address - Phone:828-213-2325
Mailing Address - Fax:
Practice Address - Street 1:119 BONFIELD DR
Practice Address - Street 2:
Practice Address - City:MARTINSVILLE
Practice Address - State:VA
Practice Address - Zip Code:24112-8619
Practice Address - Country:US
Practice Address - Phone:276-666-7622
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-06-09
Last Update Date:2017-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2009-00081207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA010077427Medicaid
VAG62927Medicare UPIN
VA010077427Medicaid