DR. ALICE BEHRENS M.D. NPI 1396130555

NPI Information

NPI: 1396130555
Provider Name: DR. ALICE BEHRENS, M.D.
Classification: Ophthalmology - 207WX0107X
Entity Type: Individual

Specialization: Retina Specialist

Organization: MAGIE MABREY EYE CLINIC P A

PECOS Registration: Yes

Address:
924 MAIN ST
CONWAY, AR
ZIP 72032
Phone: (501) 327-4444
Get Directions

DR. Alice Behrens, M.D. is a retina specialist ophthalmology in Conway, AR with 9 years of experience. The provider is an ophthalmologist who specializes in the diagnosis and treatment of vitreoretinal diseases. DR. Alice Behrens, M.D. NPI is 1396130555. The provider is registered as an individual entity type and is a single specialty group.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: UNIVERSITY OF ARKANSAS COLLEGE OF MEDICINE
Graduation Year:2015

The provider's business location address is:

924 MAIN ST
CONWAY, AR
ZIP 72032-424
Phone: (501) 327-4444
Fax: (501) 327-3962

The NPI 1396130555 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 4/3/2015 and was last updated on 6/25/2021.

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	207W00000X	Ophthalmology		S0629	TEXAS	No
2	390200000X	Student in an Organized Health Care Education/Training Program				No
3	207WX0107X	Ophthalmology	Retina Specialist	S0629	TEXAS	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	398421301	MEDICAID	TEXAS
2	S0629	OTHER	TEXAS	TEXAS MEDICAL LICENSE
3	FB8202791	OTHER	TEXAS	DEA

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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