Bryan T Head, M.D.
Individual provider Active NPI Orthopaedic Surgery Physician · Conway, AR
NPI 1003264789 · NPPES record last updated Apr 24, 2023
Key facts
- NPI
- 1003264789
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Orthopaedic Surgery Physician 207X00000X
- License
- BP10057608 (TX)
- Practice address
- 550 Club LN Ste 1
Conway, AR 72034-3681 - Phone
- (501) 329-1510
- Fax
- (501) 329-5697
- NPI assigned
- Jun 2, 2016
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 3
Hospital & facility affiliations 8
Medicare Care Compare profile
- Specialty
- Orthopedic Surgery
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Conway Regional Medical Center Inc
Practice addresses (Care Compare)
550 Club LN
Suite 1
Conway, AR 72034-3681
Phone (501) 329-1510
Hospital & facility affiliations
- Conway Regional Homecare SVCS
- Conway Regional Medical Center, Inc
- Ozark Health
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Hip replacement | 1-10 |
| Upper limb (arm) arthroscopy (minimally invasive joint repair) | 27 |
| Melanoma (skin cancer) excision | 1-10 |
| Removal of tissue | 1-10 |
| Removal of nail tissue | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AR
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220722000634 | AR | Practitioner - Orthopedic Surgery | 8921389032 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| BP10057608 | TX | MD | Orthopaedic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Conway Regional Medical Center Inc. | Orthopaedic Surgery | Current |
Accepting new patients |
| Conway Regional Medical Center Inc | Current |
Accepting new patients | |
| Conway Regional Medical Center Inc | Past | Accepting new patients |
Locations
550 Club Ln
Ste 1
Conway, AR 72034
Phone (501) 329-1510
Interoperability endpoints
- https://fhir-usa.unify.chbase.com/org/ozarkh-5b939301
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | BP10057608 | TX | Yes |
Addresses
Primary practice location
550 Club LN Ste 1
Conway, AR 72034-3681
Mailing address
PO Box 9662
Conway, AR 72033-9662
Phone (501) 852-1363
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| BP10057608 | Other | TX | PIT PERMIT |
Other providers in Conway, AR
- Griffin Hawthorne
- Latoya Haynes
- Leigh Haynes
- Bradley Hays
- Marsha K Hays
- James Head
- Kimberly A Head
- Heal Within Counseling and Consulting Inc
- Heal Within Counseling and Consulting Inc
- Heal Within Counseling and Consulting Inc
All providers in Conway, AR · Orthopaedic Surgery Physician in Arkansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 24, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.