Provider Demographics
NPI:1710325386
Name:SELIO, BRIGITTE R (MD)
Entity type:Individual
Prefix:
First Name:BRIGITTE
Middle Name:R
Last Name:SELIO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:BRIGITTE
Other - Middle Name:R
Other - Last Name:SANCHEZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:1400 E 9TH ST
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:IN
Mailing Address - Zip Code:46975-8937
Mailing Address - Country:US
Mailing Address - Phone:574-223-3141
Mailing Address - Fax:
Practice Address - Street 1:1400 E 9TH ST
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:IN
Practice Address - Zip Code:46975-8937
Practice Address - Country:US
Practice Address - Phone:574-223-3141
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-06-05
Last Update Date:2025-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4301509414207Q00000X
IN11017007A207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine