Dr. Bernard Louis Speevack
M.D. | Pediatrics | Male
Dr. Bernard Louis Speevack, M.D. is a Louisville, Kentucky based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Dr. Bernard Louis Speevack is
417 Benjamin Lane, Suite 101, Louisville, Kentucky - 40222-4845. He can be contacted on phone at
502-412-0597 and fax number 502-412-4637.
Dr. Bernard Louis Speevack is a sole proprietor of his business.
NPI number (Unique professional ID) for Dr. Bernard Louis Speevack is
1730178963 which was assigned by NPPES on 20 Oct, 2005 and it was last updated on 08 Sep, 2020.
Dr. Bernard Louis Speevack license number is
20887 for Pediatrics (208000000X) in Kentucky.
Dr. Bernard Louis Speevack is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Dr. Bernard Louis Speevack basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Dr. Bernard Louis Speevack |
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| Credential : | M.D. |
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| Gender : | Male |
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| Sole Proprietor : | Yes |
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Business Address:
Dr. Bernard Louis Speevack address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 417 Benjamin Lane, Suite 101
Louisville, KY, 40222-4845
United States |
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| Phone Number : | 502-412-0597 |
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| Fax Number : | 502-412-4637 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which 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). NPI details are as mentioned below.
| NPI Number : | 1730178963 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 20 Oct, 2005 |
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| Last Updated On : | 08 Sep, 2020 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Bernard Louis Speevack are as mentioned. Primary taxonomy code for Dr. Bernard Louis Speevack, M.D. is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | Yes | 20887 | KY |
Legacy Identifiers:
Other legacy medical identifiers of Dr. Bernard Louis Speevack such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 000000768482 | Other | KY | ANTHEM - NICC |
| 000000652903 | Other | KY | ANTHEM |
| 64208879 | MEDICAID | KY | |
| 50028108 | Other | KY | PASSPORT |
| 135410 | Other | KY | SIHO - NICC |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 417 Benjamin Lane, Suite 101
Louisville, KY, 40222-4845
United States |
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| Phone Number : | 502-412-0597 |
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| Fax Number : | 502-412-4637 |
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Business Location:
Patients can refer following map for directions to
Dr. Bernard Louis Speevack practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.