MEDICARE: HARVEY PEDIATRICS. PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208000000X	Pediatrics Physician	C8326	AR

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1568676369
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HARVEY PEDIATRICS. PLLC

Provider Business Mailing Address
First Line	:	900 S 52ND ST
Second Line	:	200
City	:	ROGERS
State	:	AR
Zip	:	72758-8637
Country	:	US
Telephone Number	:	479-254-1100
Fax Number	:	479-254-2997

Provider Business Practice Location Address
First Line	:	900 S 52ND ST
Second Line	:	200
City	:	ROGERS
State	:	AR
Zip	:	72758-8637
Country	:	US
Telephone Number	:	479-254-1100
Fax Number	:	479-254-2997

Authorized Official
Title or Position	:	MEDICAL DIRETOR
Name	:	DR. BRYAN HARVEY
Credential	:	MD
Telephone Number	:	479-254-1100

Provider Enumeration Date	:	05/10/2007
Last Update Date	:	05/13/2016

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