Provider Demographics
NPI:1376627067
Name:BIELEY, HARLAN CLAYTON (MD)
Entity Type:Individual
Prefix:DR
First Name:HARLAN
Middle Name:CLAYTON
Last Name:BIELEY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:616 CLEARWATER PARK RD APT 803
Mailing Address - Street 2:
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33401-6248
Mailing Address - Country:US
Mailing Address - Phone:561-385-2282
Mailing Address - Fax:
Practice Address - Street 1:11380 PROSPERITY FARMS RD STE 114
Practice Address - Street 2:
Practice Address - City:PALM BEACH GARDENS
Practice Address - State:FL
Practice Address - Zip Code:33410-3464
Practice Address - Country:US
Practice Address - Phone:561-842-7422
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-25
Last Update Date:2020-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME66700208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice