Provider Demographics
NPI:1700865607
Name:HERMAN, BARRY EUGENE (MD)
Entity Type:Individual
Prefix:DR
First Name:BARRY
Middle Name:EUGENE
Last Name:HERMAN
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 1:20 COMMUNITY DR
Mailing Address - Street 2:
Mailing Address - City:EASTON
Mailing Address - State:PA
Mailing Address - Zip Code:18045-2658
Mailing Address - Country:US
Mailing Address - Phone:610-258-6635
Mailing Address - Fax:610-258-2879
Practice Address - Street 1:20 COMMUNITY DR
Practice Address - Street 2:
Practice Address - City:EASTON
Practice Address - State:PA
Practice Address - Zip Code:18045-2658
Practice Address - Country:US
Practice Address - Phone:610-258-6635
Practice Address - Fax:610-258-2879
Is Sole Proprietor?:No
Enumeration Date:2006-01-10
Last Update Date:2019-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD040303E174400000X
NJ25MA06206300174400000X
PAMD465345207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
No174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA723788OtherHIGHMARK BS PROVIDER #
PA7649479OtherCIGNA PROVIDER #
PA02070301OtherCAPITAL BC PROVIDER #
PAP913268OtherOXFORD PROVIDER #
PA001521791Medicaid
PA20008607OtherAMERIHEALTH MERCY PROV #
NJ6754902Medicaid
PA131058OtherMEDPLUS PROVIDER #
PA723788OtherHIGHMARK BS PROVIDER #
PA02070301OtherCAPITAL BC PROVIDER #