MEDICARE: MICHAEL J BARNUM MD,PC

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	207X00000X	Orthopaedic Surgery Physician		VA
2	207Q00000X	Family Medicine Physician		VA

General Provider Information

NPI Number	:	1245241454
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MICHAEL J BARNUM MD,PC

Provider Business Mailing Address
First Line	:	905 BATTLEFIELD BLVD N
Second Line	:	STE 103
City	:	CHESAPEAKE
State	:	VA
Zip	:	23320-4875
Country	:	US
Telephone Number	:	757-819-7177
Fax Number	:	757-819-7178

Provider Business Practice Location Address
First Line	:	905 BATTLEFIELD BLVD N
Second Line	:	STE 103
City	:	CHESAPEAKE
State	:	VA
Zip	:	23320-4875
Country	:	US
Telephone Number	:	757-819-7177
Fax Number	:	757-819-7178

Authorized Official
Title or Position	:	OWNER
Name	:	DR. MICHAEL J BARNUM
Credential	:	MD
Telephone Number	:	757-819-7177

Provider Enumeration Date	:	08/11/2006
Last Update Date	:	09/11/2025

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