GREGORY S BIENVENU M.D. NPI 1053302893

NPI Information

NPI: 1053302893
Provider Name: GREGORY S BIENVENU, M.D.
Classification: Internal Medicine - 207RN0300X
Entity Type: Individual

Specialization: Nephrology

Address:
8907 KANIS RD STE 330
LITTLE ROCK, AR
ZIP 72205
Phone: (501) 224-8810
Get Directions

Gregory S Bienvenu, M.D. is a nephrology internal medicine in Little Rock, AR. The provider is an internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. Gregory S Bienvenu, M.D. NPI is 1053302893. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

8907 KANIS RD STE 330
LITTLE ROCK, AR
ZIP 72205-451
Phone: (501) 224-8810
Fax: (501) 224-9076

The enumeration date for this NPI number is 11/1/2005 and was last updated on 7/30/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207RN0300X	Internal Medicine	Nephrology	R-3940	ARKANSAS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	52915	OTHER	ARKANSAS	BLUE CROSS BLUE SHIELD
2	115723001	MEDICAID	ARKANSAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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