# DR. BARRY MICHAEL WOHL

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1851375547
- **Gender:** Man
- **Credential:** M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208000000X | Pediatrics Physician | 2829A | WY | Yes |

## Other

- **Enumeration date:** 12/06/2005
- **Last updated:** 03/07/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 00941001 | BC BS GROUP NUMBER | WY |
| 01 | — | 0193235 | MEDICA INSURANCE TX | TX |
| 01 | — | 100048900 | WY MEDICAID GROUP NUMBER | WY |
| 05 | — | 100798000 | — | WY |
| 01 | — | 2829A | WY MEDICAL LICENSE | WY |
| 01 | — | 301605 | BLUE CROSS BLUE SHIELD WY | WY |
| 01 | — | 419BMW98 | WY CONTROLLED SUBSTANCE | WY |
| 01 | — | 53D0673733 | CLIA GROUP NUMBER | — |
| 05 | — | 7705130 | — | SD |
| 05 | — | 830245718 | — | NE |