Provider Demographics
NPI:1316949167
Name:BEARD, MICHAEL R (MD)
Entity type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:R
Last Name:BEARD
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:507 W COMMERCE DR
Mailing Address - Street 2:SUITE 201
Mailing Address - City:BENTON
Mailing Address - State:AR
Mailing Address - Zip Code:72022-7512
Mailing Address - Country:US
Mailing Address - Phone:501-847-0082
Mailing Address - Fax:501-847-6680
Practice Address - Street 1:507 W COMMERCE DR
Practice Address - Street 2:SUITE 201
Practice Address - City:BENTON
Practice Address - State:AR
Practice Address - Zip Code:72022-7512
Practice Address - Country:US
Practice Address - Phone:501-847-0082
Practice Address - Fax:501-847-6680
Is Sole Proprietor?:No
Enumeration Date:2005-08-11
Last Update Date:2017-03-13
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
ARC-8107207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
150920000OtherQUALCHOICE OF ARKANSAS
AR01-20179OtherUNITED HEALTHCARE
080181031OtherRAILROAD MEDICARE
AR125673001Medicaid
AR5J348Medicare PIN
AR01-20179OtherUNITED HEALTHCARE