MEDICARE: DR. NORMAN R. PLEDGER MD

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	207Q00000X	Family Medicine Physician	R2917	AR

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	080151573	OTHER	AR	RR MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	57573	OTHER	AR	BCBS
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1295776045
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. NORMAN R. PLEDGER MD

Provider Business Mailing Address
First Line	:	5207 E BROADWAY ST
Second Line	:
City	:	NORTH LITTLE ROCK
State	:	AR
Zip	:	72117-4029
Country	:	US
Telephone Number	:	501-945-2033
Fax Number	:	501-945-2303

Provider Business Practice Location Address
First Line	:	5207 E BROADWAY ST
Second Line	:
City	:	NORTH LITTLE ROCK
State	:	AR
Zip	:	72117-4029
Country	:	US
Telephone Number	:	501-945-2033
Fax Number	:	501-945-2303

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/10/2006
Last Update Date	:	02/22/2011

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