Provider Demographics
NPI:1104811413
Name:BARRY, GENE NORMAN (MD)
Entity type:Individual
Prefix:DR
First Name:GENE
Middle Name:NORMAN
Last Name:BARRY
Suffix:
Gender:
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2900 NORTH STREET
Mailing Address - Street 2:SUITE 310
Mailing Address - City:BEAUMONT
Mailing Address - State:TX
Mailing Address - Zip Code:77702-1541
Mailing Address - Country:US
Mailing Address - Phone:409-896-5400
Mailing Address - Fax:409-896-5383
Practice Address - Street 1:2900 NORTH ST STE 310
Practice Address - Street 2:
Practice Address - City:BEAUMONT
Practice Address - State:TX
Practice Address - Zip Code:77702-1541
Practice Address - Country:US
Practice Address - Phone:409-896-5400
Practice Address - Fax:409-896-5383
Is Sole Proprietor?:No
Enumeration Date:2005-09-13
Last Update Date:2025-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXH79780207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX128593401Medicaid
TX128593401Medicaid
TXF79740Medicare UPIN