Eliezer Bar-Meir
Individual provider Active NPI General Practice Physician · Fort Riley, KS
NPI 1881220101 · NPPES record last updated Dec 15, 2021
Key facts
- NPI
- 1881220101
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Physician 208D00000X
- License
- 04-45623 (KS)
- Practice address
- 650 Huebner Rd
Fort Riley, KS 66442-4030 - Phone
- (785) 240-1125
- NPI assigned
- Mar 18, 2020
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12345 | KS | MD | Family Medicine Physician |
| 04-45623 | KS | MD | General Practice Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | 04-45623 | KS | Yes |
| General Practice Physician | 208D00000X | 12345 | KS |
Addresses
Primary practice location
650 Huebner Rd
Fort Riley, KS 66442-4030
Mailing address
650 Huebner Rd
Fort Riley, KS 66442-4030
Phone (785) 240-1125
Other providers in Fort Riley, KS
- Sean Collin Babb
- Sarah J Baethge
- Angie Pruitt Baker
- Danesha Marie Baldwin
- Rufus Young Bandy III
- Casey James Barnett
- Peter Stanley Barringer
- Natalie L Barta
- Charles F. Bass
- Elliot L. Bass
All providers in Fort Riley, KS · General Practice Physician in Kansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 15, 2021. 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.