Individual
DR. RICKY L BARE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1 DOCTORS PARK, ASHEVILLE, NC 28801-4500
(828) 253-5314
(828) 254-5216
Mailing address
2234 COLONIAL BLVD, ATTN: PAYER CONTRACTING & RELATIONS, FORT MYERS, FL 33907-1412
(239) 931-7342
(239) 931-7385
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
34557
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1165946
GATEWAY HEALTH
NC
01
—
13049
BCBS PROVIDER #
NC
01
—
19-71240
UNITED HEALTH CARE
NC
01
—
340015564
RR MEDICARE
NC
01
—
5013412
AETNA
NC
01
—
8382104006
CIGNA
NC
05
—
8913049
—
NC
01
—
P00996850
RAILROAD MEDICARE
NC
Enumeration date
08/19/2005
Last updated
10/24/2016
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