Healthcare Provider Details

I. General information

NPI: 1821383688
Provider Name (Legal Business Name): THOMAS STUART BARROS II D.O.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/09/2011
Last Update Date: 06/17/2025
Certification Date: 06/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2425 TAYLOR RD
CHESAPEAKE VA
23321-2201
US

IV. Provider business mailing address

100 BREWSTER BLVD
CAMP LEJEUNE NC
28547-2575
US

V. Phone/Fax

Practice location:
  • Phone: 757-215-1800
  • Fax:
Mailing address:
  • Phone: 910-381-7669
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number0102205061
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: