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HAL BRADFORD MD PA NPI 1265767859


NPI Information

NPI: 1265767859
Provider Name: HAL BRADFORD MD PA

Doing Business As: ACCENT WOMEN'S HEALTH

Classification: Specialist - 174400000X
Entity Type: Organization

CLIA Number: 04D1087975

Address:
3000 N MARKET AVE.
SUITE E
FAYETTEVILLE, AR
ZIP 72703
Phone: (479) 444-1440
Get Directions

HAL BRADFORD MD PA is a specialist in Fayetteville, AR. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. HAL BRADFORD MD PA NPI is 1265767859. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Accent Women's Health.

The provider's business location address is:

3000 N MARKET AVE.
SUITE E
FAYETTEVILLE, AR
ZIP 72703-507
Phone: (479) 444-1440
Fax: (479) 444-1447

The provider's authorized official is Thomas Hal Bradford .
The authorized official title is Owner and has the following contact phone number (479) 444-1440.

The CLIA number assigned to this NPI record is 04D1087975 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 10/15/2009 and was last updated on 3/12/2012.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1174400000XSpecialistC-7898ARKANSASYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1124896001MEDICAIDARKANSAS
2E87038MEDICARE UPINARKANSAS

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

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