# BIVINS FAMILY MEDICINE, PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1841269917
- **Authorized official:** DR. FRANKLIN G BIVINS MD (OWNER)
- **Authorized official phone:** (501) 362-6000

## Contact information

- **Practice address:** 101 ELY DR, HEBER SPRINGS, AR 72543-2836
- **Practice address phone:** (501) 362-6000
- **Practice address fax:** (501) 362-6542
- **Mailing address:** 101 ELY DR, HEBER SPRINGS, AR 72543-2836
- **Mailing address phone:** (501) 362-6000
- **Mailing address fax:** (501) 362-6542

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | C7660 | AR | Yes |

## Other

- **Enumeration date:** 03/14/2006
- **Last updated:** 11/29/2007

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 110131456 | RAILROAD MEDICARE | AR |