MEDICARE: JAMES M SILCOX D.O.

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
1	171000000X	Military Health Care Provider
2	207Q00000X	Family Medicine Physician	2015-02114	NC

General Provider Information

NPI Number	:	1427462878
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JAMES M SILCOX D.O.

Provider Business Mailing Address
First Line	:	2817 REILLY ST
Second Line	:
City	:	FORT BRAGG
State	:	NC
Zip	:	28310-7394
Country	:	US
Telephone Number	:	910-907-1016
Fax Number	:	910-907-9110

Provider Business Practice Location Address
First Line	:	2817 REILLY ST
Second Line	:
City	:	FORT BRAGG
State	:	NC
Zip	:	28310-5001
Country	:	US
Telephone Number	:	910-907-1016
Fax Number	:	910-907-9110

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/13/2014
Last Update Date	:	08/19/2019

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