Schaefer, Gerald Bradley

Schaefer, Gerald Bradley is an individual health care provider with primary practice located at 2601 Gene George Blvd , Springdale AR 72762-0845. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Clinical Genetics (M.D.), Allopathic & Osteopathic Physicians / Pediatric Endocrinology. Allopathic & Osteopathic Physicians / Clinical Genetics (M.D.) is his primary health care specialty. Schaefer, Gerald Bradley can be contacted via phone (479) 725-6880.

Contact Information

Primary practice address
2601 Gene George Blvd Springdale AR 72762-0845
Phone: (479) 725-6880
Fax: (479) 725-6582
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Clinical Genetics (M.D.) 207SG0201X 18185 Nebraska
Allopathic & Osteopathic Physicians / Pediatric Endocrinology 2080P0205X E5822 Arkansas
Allopathic & Osteopathic Physicians / Pediatric Endocrinology 2080P0205X 18185 Nebraska
Allopathic & Osteopathic Physicians / Clinical Genetics (M.D.) 207SG0201X E5822 Arkansas

Profile Details

NPI number 1225089204
LBN Legal business name Schaefer, Gerald Bradley
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 13th, 2006
Last updated Oct 4th, 2018 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1225089204 NPPES
Arkansas MEDICAID 126153001

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