Provider Demographics
NPI:1720081078
Name:SCHULMAN, BARRY (DPM)
Entity Type:Individual
Prefix:
First Name:BARRY
Middle Name:
Last Name:SCHULMAN
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 1:1350 UPPER HEMBREE RD STE 100
Mailing Address - Street 2:
Mailing Address - City:ROSWELL
Mailing Address - State:GA
Mailing Address - Zip Code:30076-0929
Mailing Address - Country:US
Mailing Address - Phone:678-426-2171
Mailing Address - Fax:404-446-1957
Practice Address - Street 1:52 MOUSE CREEK RD NW
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:TN
Practice Address - Zip Code:37312-4839
Practice Address - Country:US
Practice Address - Phone:423-559-9700
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2005-05-31
Last Update Date:2022-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAPOD000970213ES0103X
TNDPM0000000597213ES0103X
TN597213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
No213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN3733372Medicaid
TNTN0101OtherTN0101
TN1521168001OtherCIGNA
TN4118830OtherBLUE CROSS BLUE SHEILD
TNP00351090OtherRRMEDICARE
U89442Medicare UPIN
TN3733372Medicaid
TN3353663Medicare PIN