1740353051 NPI number — ROBERT H BEAR M.D.

Table of content: ROBERT H BEAR M.D. (NPI 1740353051)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1740353051 NPI number — ROBERT H BEAR M.D.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
BEAR
Provider First Name:
ROBERT
Provider Middle Name:
H
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
M.D.
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1740353051
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
06/29/2010
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1 HAMPTON RD
Provider Second Line Business Mailing Address:
SUITE 200
Provider Business Mailing Address City Name:
EXETER
Provider Business Mailing Address State Name:
NH
Provider Business Mailing Address Postal Code:
03833-4855
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
603-775-7575
Provider Business Mailing Address Fax Number:
603-778-9680

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1 HAMPTON RD
Provider Second Line Business Practice Location Address:
SUITE 200
Provider Business Practice Location Address City Name:
EXETER
Provider Business Practice Location Address State Name:
NH
Provider Business Practice Location Address Postal Code:
03833-4855
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
603-775-7575
Provider Business Practice Location Address Fax Number:
603-778-9680
Provider Enumeration Date:
11/16/2006

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 207X00000X , with the licence number:  6891 , registered in the state of NH ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 0102892Y0NH01 . This is a "ANTHEM BS" identifier . This identifiers is of the category "OTHER".
  • Identifier: 4682 . This is a "CIGNA NH" identifier . This identifiers is of the category "OTHER".
  • Identifier: 0122208 . This is a "AETNA" identifier . This identifiers is of the category "OTHER".
  • Identifier: 020336308 . This is a "TAX ID#" identifier . This identifiers is of the category "OTHER".
  • Identifier: 100833000 . This is a "US DEPARTMENT OF LABOR" identifier . This identifiers is of the category "OTHER".
  • Identifier: 200007670 . This is a "RAILROAD MEDICARE" identifier . This identifiers is of the category "OTHER".
  • Identifier: 0904550 . This is a "UNITED HEALTHCARE" identifier . This identifiers is of the category "OTHER".
  • Identifier: 00000591 , issued by the state of ( NH ) . This identifiers is of the category "MEDICAID".




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