Pradeep Kumbham (NPI# 1588079560, PAC ID# 2062728934) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NEUROLOGY.
| Nation Provider ID (NPI) | 1588079560 |
| PAC ID by PECOS | 2062728934 |
| Professional Enrollment ID | I20180719003064 |
| Full Name | Pradeep Kumbham |
| Organization Legal Name | NORTHWEST BENTON COUNTY PHYSICIAN SERVICES LLC |
| Address |
2900 Medical Ctr Pkwy Bentonville AR 72712-3213 |
| Phone Number | 4795532000 |
| Gender | M |
| Graduation Year | 2004 |
| Primary Specialty | NEUROLOGY |
| Secondary Specialties | NEUROPSYCHIATRY |
| Group Practice PAC ID | 3577503689 |
| Number of Group Practice Members | 49 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 040022 | NORTHWEST MEDICAL CENTER-SPRINGDALE |
| Address | Phone | Organization |
|---|---|---|
| 2900 Medical Ctr Pkwy, Bentonville, AR 72712-3213 | 4795532000 | NORTHWEST BENTON COUNTY PHYSICIAN SERVICES LLC |
| 3000 Medical Ctr Pkwy, Bentonville, AR 72712-3217 | 4797578099 | NORTHWEST BENTON COUNTY PHYSICIAN SERVICES LLC |
| 101 Sun Meadow Dr, Centerton, AR 72719-9610 | 4797950426 | NORTHWEST BENTON COUNTY PHYSICIAN SERVICES LLC |
| 609 W Maple Ave, Springdale, AR 72764-5335 | 4797575282 | NORTHWEST BENTON COUNTY PHYSICIAN SERVICES LLC |
| Organization Legal Name | NORTHWEST BENTON COUNTY PHYSICIAN SERVICES LLC |
| Physicians | 40 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kory Dee Miskin | Podiatry | Northwest Benton County Physician Services LLC | 601 Sw Regional Airport Blvd, Bentonville, AR 72712-9256 |
| Pearl Samuel | Family Medicine | Northwest Benton County Physician Services LLC | 2000 S 42nd St, Suite 100, Rogers, AR 72758-2001 |
| Valerie Bedwell | Nurse Practitioner | Northwest Benton County Physician Services LLC | 2900 Medical Ctr Pkwy, Bentonville, AR 72712-3204 |
| Christopher Stephen Baranyk I | General Practice | Northwest Benton County Physician Services LLC | 4052 E Vanburen, Suite A, Eureka Springs, AR 72632-9328 |
| Maria Christina M Judit | Geriatric Medicine | Northwest Benton County Physician Services LLC | 1102 Nw Lowes Ave, Bentonville, AR 72712-4978 |
| Randy D Conover | Family Medicine | Northwest Benton County Physician Services LLC | 101 Sun Meadow Dr, Centerton, AR 72719-9610 |
| Erin Michelle Kwyzla | Nurse Practitioner | Northwest Benton County Physician Services LLC | 101 Sun Meadow Dr, Centerton, AR 72719-9610 |
| Gregory Ryan Spears | Family Medicine | Northwest Benton County Physician Services LLC | 101 Sun Meadow Dr, Centerton, AR 72719-9610 |
| Kelsey Danielle Gilley | Certified Nurse Midwife (cnm) | Northwest Benton County Physician Services LLC | 2900 Medical Ctr Pkwy, Bentonville, AR 72712-3204 |
| Michelle Manthe | Physician Assistant | Northwest Benton County Physician Services LLC | 101 Sun Meadow Dr, Centerton, AR 72719-9610 |
| Street Address |
2900 MEDICAL CTR PKWY |
| City | BENTONVILLE |
| State | AR |
| Zip | 72712-3213 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Valerie Bedwell | Nurse Practitioner | Northwest Benton County Physician Services LLC | 2900 Medical Ctr Pkwy, Bentonville, AR 72712-3204 |
| Kelsey Danielle Gilley | Certified Nurse Midwife (cnm) | Northwest Benton County Physician Services LLC | 2900 Medical Ctr Pkwy, Bentonville, AR 72712-3204 |
| Katherine D Barton | Emergency Medicine | 2900 Medical Ctr Pkwy, Suite 140, Bentonville, AR 72712-3212 | |
| Jade Vinson | Nurse Practitioner | Camp Interventional Pain Associates Pllc | 2900 Medical Ctr Pkwy, Suite 110, Bentonville, AR 72712-3212 |
| Mark M Allard | Orthopedic Surgery | Northwest Physicians LLC | 2900 Medical Ctr Pkwy, Bentonville, AR 72712-3204 |
| Navneet Kaur | Internal Medicine | Northwest Benton County Physician Services LLC | 2900 Medical Ctr Pkwy, Suite 220, Bentonville, AR 72712-3213 |
| Philip A Cedeno | General Surgery | Northwest Benton County Physician Services LLC | 2900 Medical Ctr Pkwy, Suite 310, Bentonville, AR 72712-3214 |
| Marc Rogers | General Surgery | Northwest Benton County Physician Services LLC | 2900 Medical Ctr Pkwy, Suite 300, Bentonville, AR 72712-3214 |
| Quoc-anh Thai | Neurosurgery | Northwest Physicians LLC | 2900 Medical Ctr Pkwy, Suite 300, Bentonville, AR 72712-3214 |
| Katie E Beal | Obstetrics/gynecology | Northwest Benton County Physician Services LLC | 2900 Medical Ctr Pkwy, Bentonville, AR 72712-3204 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Melissa A Campbell | Nurse Practitioner | Pain Treatment Centers of America Pllc | 1502 Se 28th St, Suite 8, Bentonville, AR 72712-0076 |
| Dorothy L Mellon | Otolaryngology | 1502 Se 28th St, Suite 6, Bentonville, AR 72712-0076 | |
| Christian C Robertozzi | Physical Therapy | Bentonville Physical Therapy Specialists | 907 Se Village Loop, Suite 5, Bentonville, AR 72712-2229 |
| Kara Jackson | Physical Therapy | Bentonville Physical Therapy Specialists | 907 Se Village Loop, Suite 5, Bentonville, AR 72712-2229 |
| Lisa A Bearden | Obstetrics/gynecology | Women's Health Associates of Nwa Pllc | 500 Se Plaza Ave, Bentonville, AR 72712-3104 |
| Amy Deanne Sarver | Obstetrics/gynecology | Women's Health Associates of Nwa Pllc | 500 Se Plaza Ave, Bentonville, AR 72712-3104 |
| Amber J Sills | Obstetrics/gynecology | Women's Health Associates of Nwa Pllc | 500 Se Plaza Ave, Bentonville, AR 72712-3104 |
| Eric B. Santos | Chiropractic | 1706 Se Walton Blvd, Suite 6, Bentonville, AR 72712-3201 | |
| Garrett Brian Sanford | Cardiovascular Disease (cardiology) | Northwest Benton County Physician Services LLC | 2900 Medical Ctr Pkwy, Bentonville, AR 72712-3204 |
| Amy Fry | Obstetrics/gynecology | Northwest Benton County Physician Services LLC | 2900 Medical Ctr Pkwy, Bentonville, AR 72712-3204 |
| Find all physicians in zip 72712 | |||
| City | BENTONVILLE |
| Zip Code | 72712 |
| Specialty | NEUROLOGY |
| City + Specialty | BENTONVILLE + NEUROLOGY |
Please comment or provide details below to improve the information on Pradeep Kumbham.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.