DR. RICHARD BRUCE IVERSON (NPI# 1538261912) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538261912 |
| Entity Type | Individual |
| Full Name | DR. RICHARD BRUCE IVERSON |
| Credential | MD |
| Practice Address |
One University Circle Beu Health Center Macomb IL 61455 |
| Practice Telephone | 3092981888 |
| Practice Fax Number | 3092982188 |
| Mailing Telephone | 3092981888 |
| Mailing Fax Number | 3092982188 |
| Enumeration Date | 2006-09-05 |
| Last Update Date | 2007-07-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| DEA | AI6376710 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134772924 | Richard Dean Iverson | Student in an Organized Health Care Education/Training Program | 200 University Pkwy, Yakima, WA 98901-9539 | 2019-07-20 |
| 1568788602 | Richard Blaine Iverson | Pathology | 1050 E South Temple, Salt Lake City, UT 84102-1507 | 2010-04-14 |
| Street Address |
ONE UNIVERSITY CIRCLE BEU HEALTH CENTER |
| City | MACOMB |
| State | IL |
| Zip Code | 61455 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043869944 | Wesley Village, Inc | Speech-Language Pathologist | 1200 East Grant Street, Macomb, IL 61455 | 2019-09-04 |
| 1780154013 | Hannah Lauren Bengtson | Optometrist | 820 E. Jackson St., Macomb, IL 61455 | 2018-11-29 |
| 1255832564 | Lifeguard Ambulance Service of Illinois Inc. | Ambulance | 219 W Jackson St, Macomb, IL 61455 | 2018-02-22 |
| 1821516816 | Michelle Deann Sargeant | Speech-Language Pathologist | 315 N. Bonham, Macomb, IL 61455 | 2017-08-30 |
| 1972020360 | Kara Marie Wright | Speech-Language Pathologist | 315 N. Bonham St., Macomb, IL 61455 | 2017-08-25 |
| 1720356504 | Dawn M. Kedzior | Social Worker | 103 South Johnson Street, Macomb, IL 61455 | 2011-12-07 |
| 1255632642 | Michael Kurt Sharp | Audiologist | Memorial Hall, Second Floor, W Murray St, Macomb, IL 61455 | 2010-11-16 |
| 1952538704 | Mary L. Smith | Developmental Therapist | 1 University Circle, Western Il Univ, Cntr for Best Practices In Early Childhood Education, Macomb, IL 61455 | 2009-06-19 |
| 1982857827 | Macomb Oncology Institute Ltd | Radiology | 401 East Grant Street, Macomb, IL 61455 | 2008-10-23 |
| 1245488345 | Sonja E Schmidt | Social Worker | 119 Wetzel Hall, Western Illinois University, Macomb, IL 61455 | 2008-09-03 |
| Find all providers in zip 61455 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023633062 | Urgent Care Aid Pllc | Family Medicine | 16820 21 Mile Rd, Macomb, MI 48044-2601 | 2020-06-16 |
| 1942684741 | Isabella Scofield | Family Medicine | 46591 Romeo Plank Rd Ste 200, Macomb, MI 48044 | 2015-07-13 |
| 1376792648 | Dennis Ray Samuelson | Family Medicine | 1300 W Adams St, Macomb, IL 61455-1235 | 2008-09-11 |
| 1457526428 | Farmbrooke Family Physicians PC | Family Medicine | 48924 Hayes Rd, Macomb, MI 48044-1955 | 2008-04-29 |
| 1518036979 | Richard Earl Minter | Family Medicine | 505 E Grant St Ste 202, Macomb, IL 61455-3373 | 2006-11-07 |
| 1730130063 | Macomb Internists PC | Family Medicine | 46857 Garfield Rd, Macomb, MI 48044-5225 | 2006-05-12 |
| 1548226467 | Cecilly A Pratt | Family Medicine | 15959 Hall Rd Ste 104, Macomb, MI 48044 | 2006-04-21 |
| 1922098193 | Alan P Peter | Family Medicine | 16800 24 Mile Rd, Macomb, MI 48042-2990 | 2005-10-27 |
| 1053895953 | Naomi R Polley | Family Medicine | 525 E Grant St, Macomb, IL 61455-3318 | 2018-09-18 |
| 1295175487 | Prayag Naineshkumar Patel | Family Medicine | 525 E Grant St, Macomb, IL 61455-3313 | 2013-07-02 |
| Find all providers in MACOMB | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.