Provider Demographics
NPI:1184618589
Name:BIGAYER, SEYMOUR M (DPM)
Entity type:Individual
Prefix:DR
First Name:SEYMOUR
Middle Name:M
Last Name:BIGAYER
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9770 S MILITARY TRL
Mailing Address - Street 2:SUITE B-12
Mailing Address - City:BOYNTON BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33436-3207
Mailing Address - Country:US
Mailing Address - Phone:561-734-0690
Mailing Address - Fax:561-734-7117
Practice Address - Street 1:9770 S MILITARY TRL
Practice Address - Street 2:SUITE B-12
Practice Address - City:BOYNTON BEACH
Practice Address - State:FL
Practice Address - Zip Code:33436-3207
Practice Address - Country:US
Practice Address - Phone:561-734-0690
Practice Address - Fax:561-734-7117
Is Sole Proprietor?:Yes
Enumeration Date:2005-08-31
Last Update Date:2009-03-25
Deactivation Date:2006-03-24
Deactivation Code:
Reactivation Date:2006-04-03
Provider Licenses
StateLicense IDTaxonomies
FLFL1417213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL6159540001Medicare NSC
FLT88588Medicare UPIN