MR. MATTHEW BRISTER


Address: 1555 Exchange Ave, Conway, AR 72032-7824
Phone: 7137934603

MR. MATTHEW BRISTER (NPI# 1154816098) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1154816098
Entity Type Individual
Full Name MR. MATTHEW BRISTER
Practice Address 1555 Exchange Ave
Conway
AR 72032-7824
Mailing Address 45 Persimmon Ridge Dr
Greenbrier
AR 72058-8818
Practice Telephone 7137934603
Mailing Telephone 9795495044
Enumeration Date 2018-06-23
Last Update Date 2020-07-13
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
124193 AR Physician Assistants & Advanced Practice Nursing Providers
N 363LF0000X Nurse Practitioner
Specialization: Family
AP137814 TX Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 1555 EXCHANGE AVE
City CONWAY
State AR
Zip Code 72032-7824

Providers in the same location

NPI Name Taxonomy Address Enumeration
1629052931 Thomas Gene Alfano Anesthesiology 1555 Exchange Ave, Conway, AR 72032-7824 2005-11-30
1255851515 Brett Alan Morris Nurse Practitioner 1555 Exchange Ave, Conway, AR 72032-7824 2017-06-27
1720508195 Sheza Tauheed Khawaja Internal Medicine 1555 Exchange Ave, Conway, AR 72032-7824 2017-06-26
1275084188 Conway Community Services Radiology 1555 Exchange Ave, Conway, AR 72032-7824 2016-10-17
1669922308 Teryn Denae Laseter Personal Emergency Response Attendant 1555 Exchange Ave, Conway, AR 72032-7824 2016-10-05
1083163638 Lance Kennedy Harris Physician Assistant 1555 Exchange Ave, Conway, AR 72032-7824 2016-09-23
1699221853 Lachan Elizabeth Siebenmorgen Physician Assistant 1555 Exchange Ave, Conway, AR 72032-7824 2016-08-28
1790147106 Conway Community Services Rehabilitation Unit 1555 Exchange Ave, Conway, AR 72032-7824 2016-03-24
1609258938 Hira Cheema Internal Medicine 1555 Exchange Ave, Conway, AR 72032 2015-06-23
1760820583 Megan Taylor Emergency Medicine 1555 Exchange Ave, Conway, AR 72032-7824 2013-06-14
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1730789843 Amelia S Lasater Pharmacist 1155 Hwy 65n, Conway, AR 72032 2020-10-28
1619584604 Danyelle Durocher Occupational Therapist 1301 North Museum Rd, Conway, AR 72032 2020-09-24
1780222174 Eric Herman Boxnick Pharmacist 101 West Oak Street, Conway, AR 72032 2019-12-16
1932746070 Habilitation Center, LLC Psychiatric Residential Treatment Facility 161 Skunk Hollow Road, Conway, AR 72032 2019-12-09
1679051668 Mary Elizabeth Black Nurse Practitioner 222 Dave Ward Drive, Conway, AR 72032 2018-08-01
1275035602 Conway Dental Center Pllc Dentist 1600 E. Oak Street Suite B, Conway, AR 72032 2018-03-01
1750821625 Luke Osborne Physical Therapy Assistant 1 Thomas Ln, Conway, AR 72032 2017-02-27
1639620099 Sam's West, Inc. Technician/Technologist 1250 South Amity Rd, Conway, AR 72032 2016-10-20
1922559343 Sam's West, Inc. Durable Medical Equipment & Medical Supplies 1250 Sourth Amity Rd, Conway, AR 72032 2016-10-20
1639629108 Posture Store Durable Medical Equipment & Medical Supplies 3900 Dave Ward Dr., Suite 1900-130, Conway, AR 72032 2016-10-09
Find all providers in zip 72032

Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1023617594 Mckenzie Lauren Cotton Nurse Practitioner 1065 Skyline Dr, Conway, AR 72032-3530 2020-10-25
1316566607 Shannon Busby Nurse Practitioner 1505 Winterbrook Dr, Conway, AR 72034-3564 2020-04-16
1538798087 Glenda Darlene Gore Nurse Practitioner 17 Kali Ct, Conway, AR 72032-9477 2020-04-06
1265071427 Dana Aysha Niederhauser Nurse Practitioner 1250 Littlewood Cv, Conway, AR 72032-8986 2020-01-04
1285287680 Joy Griffith Nurse Practitioner 2907 Percy Cir, Conway, AR 72034-5508 2019-07-24
1366094260 Kerry Kathryn Lewis Nurse Practitioner 1910 Royal Dr, Conway, AR 72034-7346 2019-07-10
1487113148 Laura B Kelly Nurse Practitioner 2300 Linda Dr, Conway, AR 72032-8999 2019-03-12
1780141069 Ashleigh Lynn Kinon Nurse Practitioner 2065 Woodlawn Dr, Conway, SC 29526-7703 2019-02-22
1679051668 Mary Elizabeth Black Nurse Practitioner 222 Dave Ward Drive, Conway, AR 72032 2018-08-01
1780191015 Sydnie Thessing Nurse Practitioner 605 Dave Ward Drive #105, Conway, AR 72034 2018-01-09
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Competitor

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City CONWAY
Zip Code 72032

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Dataset Information

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.

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