Individual
BRIAN BEAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
#2 ST VINCENT CIRCLE, LITTLE ROCK, AR 72205
(501) 552-3592
(501) 552-4129
Mailing address
PO BOX 23410, LITTLE ROCK, AR 72221-3410
(501) 224-1690
(501) 224-1927
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
E-3261
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02090007600
QUALCHOICE
AR
Enumeration date
04/14/2006
Last updated
04/17/2008
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