Bernagie E Allen, MD
Individual provider Active NPI Family Medicine Physician · Fayetteville, AR
NPI 1255355996 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1255355996
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- C 8225 (AR)
- Practice address
- 100 N College Ave
Fayetteville, AR 72701-5311 - Phone
- (479) 444-5016
- Fax
- (479) 587-5980
- NPI assigned
- Jul 26, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C 8225 | AR | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Arkansas for Medical Sciences | Family Medicine | Past | Accepting new patients |
| University of Arkansas for Medical Sciences | Family Medicine | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | C 8225 | AR | Yes |
Addresses
Primary practice location
100 N College Ave
Fayetteville, AR 72701-5311
Mailing address
1629 N Rhonda Dr
Fayetteville, AR 72703-2042
Phone (479) 251-1913
Other providers in Fayetteville, AR
- Alexis Racheotes, DC PLLC Sports Chiropractic & Acupuncture
- Jade Robert Alfasi
- Aligned Living Counseling
- All Thrive Therapy and Consulting PLLC
- Chris Allbritton
- Bruce R Allen
- Emily Allen
- Holly Allen
- Johnathan D Allen
- Katie Deanne Allen
All providers in Fayetteville, AR · Family Medicine Physician in Arkansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.