Brandon S Chism in Fayetteville - Cardiovascular Disease
Brandon S Chism - NPI 1376500108
Brandon S Chism is a Cardiovascular Disease in Fayetteville, Arkansas. Brandon S Chism practices all healthcare services and medical treatments related to Cardiovascular Disease. The NPI Number for Brandon S Chism is 1376500108. The last update date is 2012-06-28.
Brandon S Chism's current location address is 3211 N Northhills Blvd, Fayetteville, Arkansas. You can contact this provider via phone number 4795714338 and fax number 4795714015. The mailing address for Brandon S Chism is 3211 N Northhills Blvd, Fayetteville, Arkansas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Brandon S Chism |
|---|---|
| Address | 3211 N Northhills Blvd, Fayetteville, Arkansas |
| Phone Number | 4795714338 |
| Fax Number | 4795714015 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1376500108 |
|---|---|
| Provider Enumeration Date | 2006-04-26 |
| Last Updated Date | 2012-06-28 |
Provider Mailing Address Detail
| Address | 3211 N Northhills Blvd |
|---|---|
| City | Fayetteville |
| State | Arkansas (AR) |
| Post Code | 727034007 |
| Phone Number | 4795714338 |
| Fax Number | 4795714015 |
Provider's Primary Taxonomy Detail
| Speciality | Cardiovascular Disease |
|---|---|
| Taxonomy | 207Rc0000X |
| Licence No | 35183 |
|
Definition: An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| P00381947 | AZ | RAILROAD MEDICARE | |
| 90498 | AZ | -- | |
| E-4651 | AR | STATE MEDICAL LICENSE |
Post Comment/ Review Below
What is the Brandon S Chism's 1376500108?
The Brandon S Chism's NPI (National Provider Identifier) Number is 1376500108. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Brandon S Chism?
The Brandon S Chism is situated at 3211 N Northhills Blvd, in the city of Fayetteville, state of AR, with the zip code 727034007.
What is Brandon S Chism's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Brandon S Chism is Cardiovascular Disease, and the corresponding taxonomy classification code for this specialized field is 207Rc0000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1376500108 to Brandon S Chism?
The Centers for Medicare & Medicaid Services originally issued the 1376500108 to Brandon S Chism on 2006-04-26.
When was the information related to Brandon S Chism most recently updated or refreshed?
The details pertaining to the Brandon S Chism, including its address, specialty, and other relevant information, were last updated or refreshed on 2012-06-28.
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