Provider Demographics
NPI:1427151091
Name:GERSHWEIR, BARRY E (MD)
Entity type:Individual
Prefix:DR
First Name:BARRY
Middle Name:E
Last Name:GERSHWEIR
Suffix:
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 1:1500 N WILMOT RD
Mailing Address - Street 2:#C260
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85712
Mailing Address - Country:US
Mailing Address - Phone:520-886-4179
Mailing Address - Fax:520-886-4170
Practice Address - Street 1:1500 N WILMOT RD
Practice Address - Street 2:#C260
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85712-4416
Practice Address - Country:US
Practice Address - Phone:520-886-4179
Practice Address - Fax:520-886-4170
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-07
Last Update Date:2015-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ7348207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ230144Medicaid
AZC99530Medicare UPIN