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NPI Code Detail

MEDICARE: DR. JAMES BRYAN SALTZ M.D.

MEDICARE: DR. JAMES BRYAN SALTZ M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine Physician25187KY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1000000045749OTHERBLUE CROSS AND BLUE SHIELD
2000000583690OTHERBLUE CROSS AND BLUE SHIELD

General Provider Information

NPI Number : 1386615383
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JAMES BRYAN SALTZ M.D.
Provider Business Mailing Address
First Line : PO BOX 1595
Second Line :
City : ASHLAND
State : KY
Zip : 41105-1595
Country : US
Telephone Number : 606-408-6200
Fax Number : 606-408-6612
Provider Business Practice Location Address
First Line : 2222 WINCHESTER AVE
Second Line :
City : ASHLAND
State : KY
Zip : 41101-7847
Country : US
Telephone Number : 606-325-9644
Fax Number : 606-329-1207
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/28/2006
Last Update Date : 01/08/2024

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