# LEWIS BRADLEY FIELDS

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1205806510
- **Gender:** Man
- **Credential:** M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | N6969 | AR | Yes |

## Other

- **Enumeration date:** 01/26/2006
- **Last updated:** 09/12/2012

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 111703001 | — | AR |
| 01 | — | 12878000040 | QUALCHOICE | AR |
| 01 | — | 160028625 | MEDICARE RAILROAD COARRIE | AR |
| 01 | — | 54057 | BLUE CROSS | AR |
| 01 | — | 770138201 | EDS BREASTCARE | AR |
| 01 | — | 9813669 | CIGNA | — |
| 01 | — | AS0140035 | HUMANA TRICARE | — |