Individual
DR. RICKY L BARE
Active
Individual
DR. RICKY L BARE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
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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