| Bryan Abernathy Md Pa Dba Abernathy Clinic | |
|
1806 N Crossover Rd Suite 4 Fayetteville AR 72701-2725 | |
| (479) 521-5603 | |
| (479) 521-5773 |
| Full Name | Bryan Abernathy Md Pa Dba Abernathy Clinic |
|---|---|
| Speciality | Family Medicine |
| Location | 1806 N Crossover Rd, Fayetteville, Arkansas |
| Authorized Official Name and Position | Bryan E Abernathy (DOCTOR) |
| Authorized Official Contact | 4795215603 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bryan Abernathy Md Pa Dba Abernathy Clinic 1806 N Crossover Rd Suite 4 Fayetteville AR 72701-2725 Ph: (479) 521-5603 | Bryan Abernathy Md Pa Dba Abernathy Clinic 1806 N Crossover Rd Suite 4 Fayetteville AR 72701-2725 Ph: (479) 521-5603 |
| NPI Number | 1023313731 |
|---|---|
| Provider Enumeration Date | 01/12/2011 |
| Last Update Date | 07/04/2023 |
| Medicare PECOS PAC ID | 6507003316 |
|---|---|
| Medicare Enrollment ID | O20130515000655 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023313731 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | R3155 (Arkansas) | Primary |
| Provider Name | Bryan E Abernathy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649218892 PECOS PAC ID: 6305805029 Enrollment ID: I20050318000122 |
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