MEDICARE: BARRY SCHULMAN D.P.M.

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	213ES0103X	Foot & Ankle Surgery Podiatrist	POD000970	GA
2	213ES0103X	Foot & Ankle Surgery Podiatrist	DPM0000000597	TN
3	213E00000X	Podiatrist	597	TN

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
5	P00351090	OTHER	TN	RRMEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	TN0101	OTHER	TN	TN0101
3	1521168001	OTHER	TN	CIGNA
4	4118830	OTHER	TN	BLUE CROSS BLUE SHEILD

General Provider Information

NPI Number	:	1720081078
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BARRY SCHULMAN D.P.M.

Provider Business Mailing Address
First Line	:	1350 UPPER HEMBREE RD STE 100
Second Line	:
City	:	ROSWELL
State	:	GA
Zip	:	30076-0929
Country	:	US
Telephone Number	:	678-426-2171
Fax Number	:	404-446-1957

Provider Business Practice Location Address
First Line	:	52 MOUSE CREEK RD NW
Second Line	:
City	:	CLEVELAND
State	:	TN
Zip	:	37312-4839
Country	:	US
Telephone Number	:	423-559-9700
Fax Number	:

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

Provider Enumeration Date	:	05/31/2005
Last Update Date	:	07/14/2022

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