Provider Demographics
NPI:1194824771
Name:SEAY, MICHAEL BRUCE (MD/PHD)
Entity type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:BRUCE
Last Name:SEAY
Suffix:
Gender:M
Credentials:MD/PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 30727
Mailing Address - Street 2:
Mailing Address - City:MEMPHIS
Mailing Address - State:TN
Mailing Address - Zip Code:38130-0727
Mailing Address - Country:US
Mailing Address - Phone:901-369-1420
Mailing Address - Fax:901-369-1433
Practice Address - Street 1:530 OAK COURT DR
Practice Address - Street 2:SUITE127
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38117-3726
Practice Address - Country:US
Practice Address - Phone:901-369-1420
Practice Address - Fax:901-729-2412
Is Sole Proprietor?:No
Enumeration Date:2006-09-21
Last Update Date:2013-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARE-52002084P0800X
TN385022084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
TNI21316Medicare UPIN
ARI21316Medicare UPIN