DR. ROBERT BAUERNFEIND MD NPI 1497785505

NPI Information

NPI: 1497785505
Provider Name: DR. ROBERT BAUERNFEIND, MD
Classification: Internal Medicine - 207RC0001X
Entity Type: Individual

Specialization: Clinical Cardiac Electrophysiology

Address:
5405 NORTH KNOXVILLE AVENUE
PEORIA, IL
ZIP 61614
Phone: (309) 691-4410
Get Directions

DR. Robert Bauernfeind, MD is a clinical cardiac electrophysiology internal medicine in Peoria, IL. The provider is a field of special interest within the subspecialty of cardiovascular disease, specialty of Internal Medicine, which involves intricate technical procedures to evaluate heart rhythms and determine appropriate treatment for them. DR. Robert Bauernfeind, MD NPI is 1497785505. 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:

5405 NORTH KNOXVILLE AVENUE
PEORIA, IL
ZIP 61614
Phone: (309) 691-4410
Fax: (309) 589-2830

The enumeration date for this NPI number is 7/4/2006 and was last updated on 2/2/2012.

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	207RC0000X	Internal Medicine	Cardiovascular Disease	036049282	ILLINOIS	No
2	207RC0001X	Internal Medicine	Clinical Cardiac Electrophysiology	036-049282	ILLINOIS	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
1	L28112	MEDICARE ID-TYPE UNSPECIFIED	ILLINOIS
2	036-049282	MEDICAID	ILLINOIS
3	036049282	MEDICAID	ILLINOIS
4	D76086	MEDICARE UPIN	ILLINOIS

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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