MEDICARE: BARRY R SELTZER MD

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	207RG0300X	Geriatric Medicine (Internal Medicine) Physician	93-00311	NC
2	207RG0300X	Geriatric Medicine (Internal Medicine) Physician	9300311	NC
3	204R00000X	Electrodiagnostic Medicine Physician	9300311	NC
4	207R00000X	Internal Medicine Physician	9300311	NC

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	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1720048788
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BARRY R SELTZER MD

Provider Business Mailing Address
First Line	:	1701 WESTCHESTER DRIVE
Second Line	:	SUITE 850
City	:	HIGH POINT
State	:	NC
Zip	:	27262-7254
Country	:	US
Telephone Number	:	336-802-2536
Fax Number	:	336-802-2534

Provider Business Practice Location Address
First Line	:	4515 PREMIER DR
Second Line	:	STE 204
City	:	HIGH POINT
State	:	NC
Zip	:	27265-8357
Country	:	US
Telephone Number	:	336-802-2075
Fax Number	:	336-802-2076

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

Provider Enumeration Date	:	03/24/2006
Last Update Date	:	06/23/2016

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Directions to “ BARRY R SELTZER MD” Practice Location

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