Provider Demographics
NPI:1992776462
Name:WEIN, BARRY K (MD)
Entity type:Individual
Prefix:DR
First Name:BARRY
Middle Name:K
Last Name:WEIN
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 1:3400 HAYDENPARK LN STE 300
Mailing Address - Street 2:
Mailing Address - City:HENRICO
Mailing Address - State:VA
Mailing Address - Zip Code:23233-7867
Mailing Address - Country:US
Mailing Address - Phone:804-998-1600
Mailing Address - Fax:804-998-1601
Practice Address - Street 1:3400 HAYDENPARK LN STE 300
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23233-7867
Practice Address - Country:US
Practice Address - Phone:804-998-1600
Practice Address - Fax:804-998-1601
Is Sole Proprietor?:No
Enumeration Date:2006-01-31
Last Update Date:2021-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101039799207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA010028876Medicaid
VA292420OtherANTHEM
VAC06695OtherGROUP PTAN
VA080190626OtherMEDICARE RAILROAD
VAC06695OtherGROUP PTAN