| |
1700 E Moore Ave, Searcy, AR 72143-4702 | |
(501) 279-7716 | |
(501) 279-7195 |
Full Name | |
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Type | Facility |
Speciality | Podiatrist |
Location | 1700 E Moore Ave, Searcy, Arkansas |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1396959284 | NPI | - | NPPES |
139840748 | Medicaid | AR |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
213E00000X | Podiatrist | 143 (Arkansas) | Primary |
Provider Name | Bruce K Berkheimer |
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Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1003886748 PECOS PAC ID: 8325174766 Enrollment ID: I20100325000079 |
Mailing Address | Practice Location Address |
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1700 E. Moore Avenue, Searcy, AR 72143-0000 Ph: (501) 279-7716 | 1700 E Moore Ave, Searcy, AR 72143-4702 Ph: (501) 279-7716 |
Bruce Kevin Berkheimer, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 1700 E Moore Ave, Searcy, AR 72143 Phone: 501-279-7716 Fax: 501-279-7195 |