GERALD BRADLEY SCHAEFER MD NPI 1225089204

NPI Information

NPI: 1225089204
Provider Name: GERALD BRADLEY SCHAEFER, MD
Classification: Medical Genetics - 207SG0201X
Entity Type: Individual

Specialization: Clinical Genetics (M.D.)

Organization: UNIVERSITY OF ARKANSAS

PECOS Registration: Yes

Address:
2601 GENE GEORGE BLVD
SPRINGDALE, AR
ZIP 72762
Phone: (479) 725-6880
Get Directions

Gerald Bradley Schaefer, MD is a clinical genetics (m.d.) medical genetics in Springdale, AR with 42 years of experience. The provider is a clinical geneticist demonstrates competence in providing comprehensive diagnostic, management and counseling services for genetic disorders. Gerald Bradley Schaefer, MD NPI is 1225089204. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF OKLAHOMA COLLEGE OF MEDICINE
Graduation Year:1982

The provider's business location address is:

2601 GENE GEORGE BLVD
SPRINGDALE, AR
ZIP 72762-845
Phone: (479) 725-6880
Fax: (479) 725-6582

The NPI 1225089204 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 5/13/2006 and was last updated on 10/4/2018.

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	207SG0201X	Medical Genetics	Clinical Genetics (M.D.)	18185	NEBRASKA	No
2	2080P0205X	Pediatrics	Pediatric Endocrinology	E5822	ARKANSAS	No
3	2080P0205X	Pediatrics	Pediatric Endocrinology	18185	NEBRASKA	No
4	207SG0201X	Medical Genetics	Clinical Genetics (M.D.)	E5822	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	126153001	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: 11/14/2023

NPI Synchronization or Removal

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