Healthcare Provider Details
I. General information
NPI: 1538182043
Provider Name (Legal Business Name): BARRY ADAM SOBEL MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 07/25/2006
Last Update Date: 09/09/2026
Certification Date: 09/09/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1550 FAULK ST STE 2100
MONROE NC
28112-5086
US
IV. Provider business mailing address
PO BOX 19305
CHARLOTTE NC
28219-9305
US
V. Phone/Fax
- Phone: 704-289-2553
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207VG0400X |
| Taxonomy | Gynecology Physician |
| License Number | 200000316 |
| License Number State | NC |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207V00000X |
| Taxonomy | Obstetrics & Gynecology Physician |
| License Number | 200000316 |
| License Number State | NC |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: