Trudy Bearden is a Medical in Pocatello, Idaho. Trudy Bearden practices all healthcare services and medical treatments related to Medical. The NPI Number for Trudy Bearden is 1639151848. The last update date is 2009-08-01.
Trudy Bearden's current location address is 465 Memorial Dr, Pocatello, Idaho. You can contact this provider via phone number 2082824700. The mailing address for Trudy Bearden is 465 Memorial Dr, Pocatello, Idaho. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Trudy Bearden |
|---|---|
| Address | 465 Memorial Dr, Pocatello, Idaho |
| Phone Number | 2082824700 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1639151848 |
|---|---|
| Provider Enumeration Date | 2005-11-15 |
| Last Updated Date | 2009-08-01 |
Provider Mailing Address Detail
| Address | 465 Memorial Dr |
|---|---|
| City | Pocatello |
| State | Idaho (ID) |
| Post Code | 832090001 |
| Phone Number | 2082824700 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Medical |
|---|---|
| Taxonomy | 363Am0700X |
| Licence No | PA-543 |
|
Definition: A licensed healthcare professional who practices medicine under physician supervision focusing on medical diagnoses and treatment. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| PA-543 | ID | PA LICENSE NUMBER |
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What is the unique 10-digit identifier code issued to Trudy Bearden by the Centers for Medicare & Medicaid Services?
The Trudy Bearden has been assigned the NPI (National Provider Identifier) 1639151848 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Can you provide the Trudy Bearden's physical address?
The Trudy Bearden is physically located at 465 Memorial Dr, in the city of Pocatello, ID, with the postal code 832090001.
What is Trudy Bearden's specialized field of practice, and what is the corresponding taxonomy classification code?
The Trudy Bearden's area of specialization is Medical, and the corresponding taxonomy code that categorizes this field of practice is 363Am0700X.
When was the Trudy Bearden's 1639151848 issued?
The Trudy Bearden's 1639151848 was issued on 2005-11-15.
As of what date was the information regarding Trudy Bearden, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Trudy Bearden, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2009-08-01.