Dr. Richard A Bronfman
Podiatrist
1501 Aldersgate Rd
Little Rock
, Arkansas 72205-6611
Dr. Richard A Bronfman
Podiatrist
1501 Aldersgate Rd
Little Rock
, Arkansas 72205-6611
(501) 376-7065
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About
Features
Specialties
- Podiatrist
Languages spoken
- English
Location
First Address
- Dr. Richard A Bronfman
- 1501 Aldersgate Rd
- Little Rock, AR
- Zip : 72205-6611
- Fax : (501) 376-7065
- Phone : (501) 224-1501
Second Address
- Dr. Richard A Bronfman
- 1501 Aldersgate Rd
- Little Rock, AR
- Zip : 72205-6611
- Fax : (501) 376-7065
- Phone : (501) 224-1501
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Is Dr. Richard A Bronfman a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | 85 | AR |
| Y | 222Z00000X | Podiatrist | 85 | AR |
National Provider Identifier
| NPI | 1023088671 |
|---|---|
| Provider Name | Dr. Richard A Bronfman |
| First Address | Little Rock, AR 72205-6611 |
| Second Address | Little Rock, AR 72205-6611 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 25/01/2006 |
| Last Update Date | 07/07/2011 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 104888717 | (05) | AR |
| 480017644 | RR MEDICARE (01) | |
| 56061 | BCBS FEP (01) | AR |
| 56061 | BLUE ADVANTAGE (01) | AR |
| 56061 | BLUE CROSS BLUE SHIELD (01) | AR |
| 56061 | FIRSTSOURCE PPO (01) | AR |
| 56061 | HEALTH ADVANTAGE (01) | AR |
| T20351 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.