Healthcare Provider Details

I. General information

NPI: 1245233428
Provider Name (Legal Business Name): WAYNE LESLIE BARBER MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/23/2005
Last Update Date: 09/28/2025
Certification Date: 09/28/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

826 WASHINGTON RD STE 200
WESTMINSTER MD
21157-5780
US

IV. Provider business mailing address

2661 RIVA RD STE 1030
ANNAPOLIS MD
21401-7131
US

V. Phone/Fax

Practice location:
  • Phone: 410-876-3333
  • Fax: 410-840-9133
Mailing address:
  • Phone: 410-571-8733
  • Fax: 410-571-6309

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License NumberD0030125
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: