BFDR Family Medicine, LTD.

Primary specialty

SpecialistTaxonomy code 174400000X

License

036110629 Issued in IL

Legal business name

BFDR FAMILY MEDICINE, LTD.

Practice address

10751 W 143Rd St
Orland Park, IL 60462-1900

Phone

(708) 460-2244

NPI assigned

Jun 13, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Bashar M Alzein, MD

Title

Owner

Phone

(708) 460-2244

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Tomislav Lakic, MD

  • Emergency Medicine Physician
  • Eureka, IL
  • NPI 1629057872
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1150156800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1300492800000",
    "number": "1770526386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12533 W LAKEVIEW DRIVE",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604671071",
            "telephone_number": "708-398-3687",
            "fax_number": "708-428-4542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10751 W 143RD ST",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604621900",
            "telephone_number": "708-460-2244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BFDR FAMILY MEDICINE, LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-13",
        "last_updated": "2011-03-19",
        "status": "A",
        "authorized_official_last_name": "ALZEIN",
        "authorized_official_first_name": "BASHAR",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "708-460-2244",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "IL",
            "license": "036110629",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036110629",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201005230",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Carolyn Beveridge, RPH
• Beverly Podiatry Center, LLC
• Mary Beyer
• Scott Beyer, D.C.
• Beyond Physical Therapy, PLLC
• Karishma Jayeshbhai Bhakta
• Malina Patel Bhalla, MD
• Shannon Bidlo
• Bielinski Dermatology Group, LLC
• Bielinski Dermatology Group, LLC

• Specialist in Orland Park, IL
• Providers in Orland Park, IL by specialty
• Specialist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.