Provider Demographics
NPI:1447214697
Name:WELGE, BARRY G (MD)
Entity Type:Individual
Prefix:
First Name:BARRY
Middle Name:G
Last Name:WELGE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1100 TUNNEL RD
Mailing Address - Street 2:MEDICINE SERVICE 111
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28805-2576
Mailing Address - Country:US
Mailing Address - Phone:828-299-2515
Mailing Address - Fax:828-299-5885
Practice Address - Street 1:1100 TUNNEL RD
Practice Address - Street 2:MEDICINE SERVICE 111
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28805-2576
Practice Address - Country:US
Practice Address - Phone:828-299-2515
Practice Address - Fax:828-299-5885
Is Sole Proprietor?:No
Enumeration Date:2006-04-14
Last Update Date:2010-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN2282207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
110002297Medicare ID - Type Unspecified
D25683Medicare UPIN