Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JACK R BEVIVINO, MD
ActiveJACK R BEVIVINO, MD is a Plastic Surgery healthcare provider located in PROVIDENCE, Rhode Island. NPI 1780705707 is currently active in the NPPES registry. Verify at CMS.
Plastic Surgery · PROVIDENCE, RI
Registration Details
- NPI Number
- 1780705707
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 3, 2007 (19.338788129208 yrs)
- Last Updated
- Jul 8, 2007
- License
-
RIMD05259 (RI)
Practice Information
- Address
-
120 DUDLEY STREETSUITE #201PROVIDENCE, RI, 029052431Browse RI providers · Browse ZIP 02905
- Phone
- 4015219290
- Fax
- 4015219297
- Primary Specialty
-
Plastic Surgery
208200000X
Other Plastic Surgery Providers in PROVIDENCE, RI
| Name | Credential | NPI |
|---|---|---|
| JAMES WEINTRUB | M.D. | 1184623282 |
| DAVID T. BARRALL | M.D. | 1871581389 |
| PATRICK SULLIVAN | MD | 1659345015 |
| KARL HEINZ BREUING | MD | 1720044472 |
| RICHARD J ZIENOWICZ | MD | 1356379390 |
| DR. SCOTT T SCHMIDT | MD | 1609986751 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.