=====================================================
General NPI Number Information
=====================================================
NPI Number | 1013233147
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | NEUROBESS PA
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 04/14/2010
-----------------------------------------------------
Last Update Date | 04/15/2020
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 1000 S 52ND ST
-----------------------------------------------------
City | ROGERS
-----------------------------------------------------
State | AR
-----------------------------------------------------
Zip | 72758-8610
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 479-271-9607
-----------------------------------------------------
Fax | 479-271-2133
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 9851 S VIEW DR
-----------------------------------------------------
City | ROGERS
-----------------------------------------------------
State | AR
-----------------------------------------------------
Zip | 72756-8174
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 479-271-9607
-----------------------------------------------------
Fax | 479-271-2133
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER
-----------------------------------------------------
Name | DR. BARBARA RAYFIELD BESS
-----------------------------------------------------
Credential | M.D.
-----------------------------------------------------
Telephone | 479-271-9607
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 2084N0400X
-----------------------------------------------------
Taxonomy Name | Neurology Physician
-----------------------------------------------------
License Number | E6168
-----------------------------------------------------
License Number State | AR
-----------------------------------------------------