Provider Demographics
NPI:1811079056
Name:PATE, BARRY R JR (MD)
Entity type:Individual
Prefix:
First Name:BARRY
Middle Name:R
Last Name:PATE
Suffix:JR
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 1:285 MCDOWELL ST
Mailing Address - Street 2:
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28803-2606
Mailing Address - Country:US
Mailing Address - Phone:828-252-1853
Mailing Address - Fax:828-259-9468
Practice Address - Street 1:285 MCDOWELL ST
Practice Address - Street 2:
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28803-2606
Practice Address - Country:US
Practice Address - Phone:828-252-1853
Practice Address - Fax:828-259-9468
Is Sole Proprietor?:No
Enumeration Date:2006-10-19
Last Update Date:2009-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC9700699207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC040015187OtherRAILROAD MEDICARE
NC1081EOtherBLUE CROSS ID
NC891081EMedicaid
NC040015187OtherRAILROAD MEDICARE
NCG53131Medicare UPIN
NC1081EOtherBLUE CROSS ID