Gregory S Bienvenu
Nephrologist
8907 Kanis Rd Ste 330
Little Rock
, Arkansas 72205-6451
Gregory S Bienvenu
Nephrologist
8907 Kanis Rd Ste 330
Little Rock
, Arkansas 72205-6451
(501) 663-5948
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About
Features
Specialties
- Nephrologist
Languages spoken
- English
Location
First Address
- Gregory S Bienvenu
- Po Box 17930
- Little Rock, AR
- Zip : 72222-7930
- Fax : (501) 663-5948
- Phone : (501) 663-0490
Second Address
- Gregory S Bienvenu
- 8907 Kanis Rd Ste 330
- Little Rock, AR
- Zip : 72205-6451
- Fax : (501) 224-9076
- Phone : (501) 224-8810
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Is Gregory S Bienvenu a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207RN0300X | Nephrologist | R-3940 | AR |
National Provider Identifier
| NPI | 1053302893 |
|---|---|
| Provider Name | Gregory S Bienvenu |
| First Address | Little Rock, AR 72222-7930 |
| Second Address | Little Rock, AR 72205-6451 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 01/11/2005 |
| Last Update Date | 30/07/2020 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 115723001 | (05) | AR |
| 52915 | BLUE CROSS BLUE SHIELD (01) | AR |
| B61865 | (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.