Provider Demographics
NPI:1922007327
Name:BARRERA, ANTHONY (MD)
Entity Type:Individual
Prefix:DR
First Name:ANTHONY
Middle Name:
Last Name:BARRERA
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:PO BOX 7
Mailing Address - Street 2:
Mailing Address - City:LOW MOOR
Mailing Address - State:VA
Mailing Address - Zip Code:24457-0007
Mailing Address - Country:US
Mailing Address - Phone:540-862-6293
Mailing Address - Fax:540-862-6469
Practice Address - Street 1:1 ARH LANE
Practice Address - Street 2:ALLEGHANY REGIONAL HOSPITAL -- EMERGENCY RO
Practice Address - City:LOW MOOR
Practice Address - State:VA
Practice Address - Zip Code:24457-0007
Practice Address - Country:US
Practice Address - Phone:540-862-6293
Practice Address - Fax:540-862-6469
Is Sole Proprietor?:No
Enumeration Date:2005-07-18
Last Update Date:2011-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101236608207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA010092779Medicaid
VA1922007327Medicaid
C29600Medicare UPIN
VA010092779Medicaid