Bevill, Mark D

Bevill, Mark D is an individual health care provider with primary practice located at 200 Hawkins Dr , Iowa City IA 52242-1009. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Urology, Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Urology is his primary health care specialty. Bevill, Mark D can be contacted via phone (319) 356-2934.

Contact Information

Primary practice address
200 Hawkins Dr Iowa City IA 52242-1009
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X 01090017A Indiana
Allopathic & Osteopathic Physicians / Urology 208800000X R-10846 Iowa
Allopathic & Osteopathic Physicians / Surgery 208600000X R-10846 Iowa

Profile Details

NPI number 1487182937
LBN Legal business name Bevill, Mark D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 30th, 2017
Last updated May 13th, 2024 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1487182937 NPPES
Indiana Other Q00573984 RAILROAD PTAN
Indiana Other 815500654 RAILROAD PTAN
Indiana Other 064740078 RAILROAD PTAN
Indiana Other 1103128902 RAILROAD PTAN
Indiana MEDICAID 300077614 RAILROAD PTAN

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