Bruce K Burton Md Pa in Malvern - Clinic/center
Bruce K Burton Md Pa - NPI 1376639344
Bruce K Burton Md Pa is a Clinic/center in Malvern, Arkansas. Bruce K Burton Md Pa practices all healthcare services and medical treatments related to Clinic/center. The NPI Number for Bruce K Burton Md Pa is 1376639344. The last update date is 2009-11-18.
Bruce K Burton Md Pa's current location address is 2223 Grant Street, Malvern, Arkansas. You can contact this provider via phone number 5013379031 and fax number 5013379033. The mailing address for Bruce K Burton Md Pa is 2223 Grant Street, Malvern, Arkansas. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Bruce K Burton Md Pa |
|---|---|
| Address | 2223 Grant Street, Malvern, Arkansas |
| Phone Number | 5013379031 |
| Fax Number | 5013379033 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Burton Kent Bruce |
| Credentials | MD |
| Telephone Number | 5013379031 |
NPI Number Detail
| NPI Number | 1376639344 |
|---|---|
| Provider Enumeration Date | 2006-10-05 |
| Last Updated Date | 2009-11-18 |
Provider Mailing Address Detail
| Address | 2223 Grant Street |
|---|---|
| City | Malvern |
| State | Arkansas (AR) |
| Post Code | 72104 |
| Phone Number | 5013379031 |
| Fax Number | 5013379033 |
Provider's Primary Taxonomy Detail
| Speciality | Clinic/center |
|---|---|
| Taxonomy | 261Q00000X |
| Licence No | MC 0784 |
|
Definition: A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 110030002 | AR | -- | |
| 57801 | AR | BCBS |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Bruce K Burton Md Pa by the Centers for Medicare & Medicaid Services?
The Bruce K Burton Md Pa has been assigned the NPI (National Provider Identifier) 1376639344 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Where is the Bruce K Burton Md Pa located?
The Bruce K Burton Md Pa is located at 2223 Grant Street, Malvern, AR 72104.
What is the Bruce K Burton Md Pa's area of specialization and corresponding taxonomy classification?
The Bruce K Burton Md Pa's specialty field is Clinic/center, and it falls under the taxonomy code 261Q00000X, which categorizes healthcare providers based on their specialties.
On what date did the Bruce K Burton Md Pa receive its 1376639344 assignment from the Centers for Medicare & Medicaid Services?
The Bruce K Burton Md Pa was assigned its 1376639344 by the Centers for Medicare & Medicaid Services on 2006-10-05.
When was the information regarding Bruce K Burton Md Pa, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Bruce K Burton Md Pa, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2009-11-18.
NPI Number: 1720081763
Address: 675 E Highway 60, Hardinsburg, KY