| Hello Wellness, Plc | |
|
1742 E Joyce Blvd Suite 1 Fayetteville AR 72703-5100 | |
| (479) 442-4553 | |
| (479) 251-1006 |
| Full Name | Hello Wellness, Plc |
|---|---|
| Speciality | Family Medicine |
| Location | 1742 E Joyce Blvd, Fayetteville, Arkansas |
| Authorized Official Name and Position | Brian K Bracy (PHYSICIAN / OWNER) |
| Authorized Official Contact | 4794424553 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Hello Wellness, Plc 1742 E Joyce Blvd Suite 1 Fayetteville AR 72703-5100 Ph: (479) 442-4553 | Hello Wellness, Plc 1742 E Joyce Blvd Suite 1 Fayetteville AR 72703-5100 Ph: (479) 442-4553 |
| NPI Number | 1255600219 |
|---|---|
| Provider Enumeration Date | 12/21/2011 |
| Last Update Date | 10/11/2022 |
| Medicare PECOS PAC ID | 0547421976 |
|---|---|
| Medicare Enrollment ID | O20120412000100 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255600219 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Brian K Bracy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770798878 PECOS PAC ID: 9133288228 Enrollment ID: I20081104000520 |
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