Active NPIIndividual providerSole proprietor

Alvin C Bacon, DO

Family Medicine in North Smithfield, Rhode Island

NPI Number1104836568
Practice location
598 Great RD, Lower Level, North Smithfield, RI 02896-6810
Fax
401-534-5460
Last updated
March 7, 2012

Alvin C Bacon is a Family Medicine based in North Smithfield, RI. Alvin C Bacon practices in North Smithfield, RI and has the professional credentials of DO. The NPI Number for Alvin C Bacon is 1104836568 and holds a License No. DO 00461 (RI). The current practice location address for Alvin C Bacon is 598 Great RD, Lower Level, North Smithfield, RI 02896-6810 and can be reached out via phone at 401-534-6784 and via fax at 401-534-5460.

Provider Profile Details

NPI Number
1104836568
Provider Name
Alvin C Bacon
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
598 Great RD, Lower Level, North Smithfield, RI 02896-6810
Phone Number
401-534-6784
Fax Number
401-534-5460
Primary Taxonomy
Family Medicine · 207Q00000X
Sole Proprietor
Yes
Provider Enumeration Date
August 9, 2006
Last Update Date
March 7, 2012
NPI Status
Active

Provider Business Practice Location Address Details

Address
598 Great RD
Lower Level
North Smithfield, RI 02896-6810
Zip
02896-6810
Phone Number
401-534-6784
Fax Number
401-534-5460
North Smithfield, RI 02896Get directions →

Provider Business Mailing Address Details

Address
33 Chambly Ave
Warwick, RI 02888-1805
City
Warwick
State
RI
Zip
02888-1805
Phone Number
401-534-6784
Fax Number
401-534-5460

License Information

License Number
DO 00461
License State
RI
Taxonomy
Family Medicine · 207Q00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Alvin C Bacon, DO?

The NPI number of Alvin C Bacon, DO is 1104836568. It was assigned on August 9, 2006 and is currently active in the NPPES registry.

What is the specialty of Alvin C Bacon, DO?

Alvin C Bacon, DO is registered under the primary taxonomy Family Medicine (code 207Q00000X), licensed in RI under license number DO 00461.

Where does Alvin C Bacon, DO practice?

The practice location is 598 Great RD, Lower Level, North Smithfield, RI 02896-6810. The office can be reached at 401-534-6784 (phone) or 401-534-5460 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1104836568 directly on the NPPES registry website.

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