MALVERN DIAGNOSTIC CLINIC – NPI #1376639344
Clinic/Center

A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

Health Care Provider Taxonomy Code for Clinic/Center

MALVERN DIAGNOSTIC CLINIC is an AHC clinic located in MALVERN, AR. NPPES has assigned the NPI number 1376639344 to MALVERN DIAGNOSTIC CLINIC on October 05, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “MALVERN DIAGNOSTIC CLINIC” is a dba name, the actual legal business name for this organization is BRUCE K BURTON MD PA. The primary taxonomy selected by this provider is 261Q00000X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center.

The NPI profile was previously updated about 17 years ago on Nov 18, 2009. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for MALVERN DIAGNOSTIC CLINIC below.

NPI Profile for
BRUCE K BURTON MD PA

NPI Number
1376639344
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
BRUCE K BURTON MD PA
Doing Business As (dba): MALVERN DIAGNOSTIC CLINIC
Primary location
2223 GRANT STREET
MALVERN, AR 72104
Phone: (501) 337-9031 Fax: (501) 337-9033
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
BRUCE BURTON
PRESIDENT OWNER
Phone: (501) 337-9031
Updated
Identifiers

Identifiers for MALVERN DIAGNOSTIC CLINIC

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERBCBSAR57801
MEDICAIDAR110030002
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261Q00000X
- Clinic/Center (Primary)		 AR MC 0784

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.