Vivian Lea Brengard, RD is a
Dietitian, Registered based in Pocahontas, Arkansas. Vivian Lea Brengard is licensed to practice in Arkansas (license number 1172) and her current practice location is
2801 Medical Center Dr, Pocahontas, Arkansas. She can be reached at her office (for appointments etc.) via phone at
(870) 892-6000.
NPI number for Vivian Lea Brengard is 1093054645 and her current mailing address is 2801 Medical Center Dr, Pocahontas, Arkansas. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1093054645.
Healthcare Provider's Profile
Full Name | Vivian Lea Brengard |
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Gender | Female |
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Speciality | Dietitian, Registered |
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Location | 2801 Medical Center Dr, Pocahontas, Arkansas |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1093054645
- Provider Enumeration Date: 02/01/2013
- Last Update Date: 02/01/2013
Medical Identifiers
Medical identifiers for Vivian Lea Brengard such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1093054645 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
133V00000X | Dietitian, Registered | 1172 (Arkansas) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Vivian Lea Brengard is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Vivian Lea Brengard, RD 2801 Medical Center Dr, Pocahontas, AR 72455-9436 Ph: (870) 892-6000 | Vivian Lea Brengard, RD 2801 Medical Center Dr, Pocahontas, AR 72455-9436 Ph: (870) 892-6000 |
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