BRYANT FAMILY MEDICAL CLINIC, P.A. (NPI# 1073640769) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073640769 |
| Entity Type | Organization |
| Organization Name | BRYANT FAMILY MEDICAL CLINIC, P.A. |
| Practice Address |
408 Office Park Dr Ste 3 Bryant AR 72022-7536 |
| Practice Telephone | 5018472835 |
| Practice Fax Number | 5018476809 |
| Mailing Telephone | 5018472835 |
| Mailing Fax Number | 5018476809 |
| Enumeration Date | 2007-02-28 |
| Last Update Date | 2019-07-24 |
| Authorized Official Name | GAELLE BRYANT (BUSINESS MANAGER) |
| Authorized Official Telephone | 5018049712 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM2500X |
Clinic/Center Specialization: Medical Specialty |
MC2196 | AR | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | ARKANSAS STATE MEDICAL BO | MC2196 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 610 W Commerce St, Bryant, AR 720227514 | 5018472835 | 5018476809 |
| Street Address |
408 OFFICE PARK DR STE 3 |
| City | BRYANT |
| State | AR |
| Zip Code | 72022-7536 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386278844 | Sandra Kay Parks | Counselor | 408 Office Park Dr Ste 3, Bryant, AR 72022-7536 | 2020-02-24 |
| 1568985240 | B&t Advanced Health, Pllc | Nurse Practitioner | 408 Office Park Dr Ste 3, Bryant, AR 72022-7536 | 2017-07-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922608868 | Lindsay Paige Macphee | Behavior Technician | 22461-i-30 Frontage Road, Bryant, AR 72022 | 2020-10-29 |
| 1952913469 | Kaleigh Angleton | Pharmacist | 5500 Ar-5, Bryant, AR 72022 | 2020-08-18 |
| 1851937254 | Lonnell O Seamster Sr. | Nurse Practitioner | 501 Woody Drive, Alexander, AR 72022 | 2019-11-20 |
| 1366098998 | Hannah Marie London | Occupational Therapist | 350 School Drive, Bryant, AR 72022 | 2019-08-09 |
| 1356996987 | Micah Self | Occupational Therapy Assistant | 200 Nw 4th Street, Bryant, AR 72022 | 2019-08-09 |
| 1114437548 | Samantha Lee Davis | Behavioral Analyst | 22461 I-30 Frontage Rd, 1100b, Bryant, AR 72022 | 2017-10-12 |
| 1164962171 | Healthcare Express, LLP | Clinic/Center | 23150 I-30 N, Bryant, AR 72022 | 2017-02-24 |
| 1205283223 | V & S Xpress LLC | Non-emergency Medical Transport (VAN) | 719 Sedgefield, Bryant, AR 72022 | 2016-05-19 |
| 1467877969 | Arkansas Maxillofacial Surgery Center | Dentist | 411 Office Park Dr, Bryant, AR 72022 | 2014-02-20 |
| 1558614511 | Melissa Robertson | Audiologist | 501 Jack Stephens Dr #547-05, Little Rock, AR 72022 | 2012-10-16 |
| Find all providers in zip 72022 | ||||
| Taxonomy Code | 261QM2500X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Medical Specialty |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). |
| Notes: [7/1/2003: new] |
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| 1114013349 | Paragould Urology | Clinic/Center | 1000 W Kingshighway Ste 8, Paragould, AR 72450-4197 | 2006-10-05 |
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| 1366450421 | Rehab and Pain Managment Clinic Inc. | Clinic/Center | 1201, Fleming Ave., Health South Rehablitation Hospital of Jonesboro, Jonesboro, AR 72403 | 2006-08-04 |
| 1952318099 | Prime Medical Imaging, A Division of Radiologists, P.a. | Clinic/Center | 320 S 9th St, Van Buren, AR 72956-5826 | 2006-08-02 |
| 1588692198 | The Pediatric Clinic of Nlr, P.a. | Clinic/Center | 3401 Springhill Dr Ste 245, North Little Rock, AR 72117-2926 | 2006-06-30 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.