Individual provider Active NPI

Barry Brent Dale, M.D.

  • Anesthesiology Physician
  • Newport News, VA
National Provider Identifier
1720098775
Registry record updated Jun 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
0101243362 Issued in VA
Practice address
760 McGuire PL
Newport News, VA 23601-1630
Phone
(757) 591-2260
Fax
(757) 595-2001
NPI assigned
Aug 9, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X A87768 CA
Anesthesiology Physician 207L00000X 0101243362 VA Primary

Addresses

Primary practice location

760 McGuire PL
Newport News, VA 23601-1630

Mailing address

File 55799
Los Angeles, CA 90074-5799
Phone (909) 558-8173

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080606000315 VA Practitioner - Anesthesiology 7517058456 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Loma Linda University School of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1305 Walt Whitman Rd
Suite 300
Melville, NY 11747-4300

19455 Deerfield Ave
Suite 204
Leesburg, VA 20176-8102
Phone (703) 724-9950

2 Bernadine Dr
Newport News, VA 23602-4404
Phone (757) 886-6000

7519 Hospital Dr
Gloucester, VA 23061-4178
Phone (804) 693-8800

760 McGuire PL
Newport News, VA 23601-1630

760 McGuire PL FL
Suite 2
Newport News, VA 23601-1630

Hospital & facility affiliations

  • Mary Immaculate Hospital Hospital, Newport News, VA, CCN 490041
  • Riverside Regional Medical Center Hospital, Newport News, VA, CCN 490052
  • Riverside Walter Reed Hospital Hospital, Gloucester, VA, CCN 490130
  • Sentara Williamsburg Regional Medical Center Hospital, Williamsburg, VA, CCN 490066

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A87768CAMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Virginia Anesthesia and Perioperative Care Specialists LLC Anesthesiology CurrentSince May 1, 2008 Accepting new patients
American Anesthesiology of Virginia, PC Anesthesiology CurrentSince Jun 12, 2023 Accepting new patients
American Anesthesiology of Virginia PC Anesthesiology CurrentSince Jun 12, 2023 Accepting new patients
Loma Linda Univ Anesthesiology Medical Group Inc Anesthesiology Past Accepting new patients

Locations

1305 Walt Whitman Rd
Ste 300
Melville, NY 11747
Phone (516) 370-3796

19455 Deerfield Ave
Ste 204
Leesburg, VA 20176
Phone (703) 724-9950

760 McGuire Pl
Fl 2
Newport News, VA 23601
Phone (757) 591-2260

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1155081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688083200000",
    "number": "1720098775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "FILE 55799",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900745799",
            "telephone_number": "909-558-8173",
            "fax_number": "909-558-0360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "760 MCGUIRE PL",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236011630",
            "telephone_number": "757-591-2260",
            "fax_number": "757-595-2001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DALE",
        "first_name": "BARRY",
        "middle_name": "BRENT",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-09",
        "last_updated": "2023-06-30",
        "certification_date": "2023-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "CA",
            "license": "A87768",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "VA",
            "license": "0101243362",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport News, VA

Sources for this page

Verify at the official NPI Registry.