Dr Bradford Owen Holloway, LCSW | |
6701 Highway 67, Benton, AR 72015 | |
(501) 315-3344 | |
Not Available |
Full Name | Dr Bradford Owen Holloway |
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Gender | Male |
Speciality | Social Worker - Clinical |
Location | 6701 Highway 67, Benton, Arkansas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1831157148 | NPI | - | NPPES |
55203 | Other | AR | BLUECROSS BLUESHIELD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 802-C (Arkansas) | Primary |
Entity Name | Birch Tree Communities Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1770733768 PECOS PAC ID: 5597749747 Enrollment ID: O20040615001261 |
Mailing Address | Practice Location Address |
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Dr Bradford Owen Holloway, LCSW Po Box 1589, Benton, AR 72018-1589 Ph: (501) 315-3344 | Dr Bradford Owen Holloway, LCSW 6701 Highway 67, Benton, AR 72015 Ph: (501) 315-3344 |
Cynthia Webber, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 410 River St, Benton, AR 72015 Phone: 501-661-0720 | |
John D Matlock, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 307 E Sevier St, Benton, AR 72015 Phone: 501-315-4224 Fax: 501-776-0411 | |
Mrs. Gwendolyn Allen, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 6721 Alcoa Rd, Benton, AR 72015 Phone: 501-257-6726 Fax: 501-257-6763 | |
Chad James Strike, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 307 E Sevier St, Benton, AR 72015 Phone: 501-315-4224 Fax: 501-778-0450 | |
April Berryman, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 110 Pearson, Benton, AR 72015 Phone: 501-315-4224 Fax: 501-778-0450 | |
Mr. Jim Gregory, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 307 E Sevier St, Benton, AR 72015 Phone: 501-315-4224 Fax: 501-776-0411 | |
Anne Michelle Wright, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 787 Racetrack Rd, Benton, AR 72019 Phone: 501-794-0519 |