John Paul Brizzolara, M.D.

Primary specialty

Urology PhysicianTaxonomy code 208800000X

License

C5910 Issued in AR

Practice address

8901 Carti Way
Little Rock, AR 72205-6523

Phone

(501) 906-3000

Fax

(501) 907-8367

NPI assigned

Feb 17, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in AR

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Urology

Education

University of Arkansas College of Medicine, 1980

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Central Arkansas Radiation Therapy Institute IncGroup PAC ID 7810068400, 89 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Care IV Home Health Home health agency, Little Rock, AR, CCN 047178
• Jefferson Regional Medical Center Hospital, Pine Bluff, AR, CCN 040071
• CHI-St Vincent Infirmary Hospital, Little Rock, AR, CCN 040007
• Bradley County Medical Center Hospital, Warren, AR, CCN 041327
• Saline Memorial Hospital Hospital, Benton, AR, CCN 040084
• Baptist Health Medical Center-Little Rock Hospital, Little Rock, AR, CCN 040114

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/16686/brand/1/csg/1/fhir/r4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Central Arkansas Radiation Therapy Institute Inc

  • Hematology & Oncology Physician
  • Little Rock, AR
  • NPI 1508147810
  Medicare reassignment Care Compare group NPD
• Saline Clinics LLC

  • Gastroenterology Physician
  • Benton, AR
  • NPI 1447609367
  Medicare reassignment NPD
• Central Arkansas Radiation Therapy Institute Inc

  • Occupational Therapist
  • Little Rock, AR
  • NPI 1093305369
  NPD
• Central Arkansas Radiation Therapy Institute Inc

  • Ambulatory Surgical Clinic/Center
  • Little Rock, AR
  • NPI 1902472715
  NPD
• Central Arkansas Radiation Therapy Institute Inc

  • Radiation Oncology Physician
  • Little Rock, AR
  • NPI 1669458907
  NPD (past)
• Saline Physician Services, LLC

  • Internal Medicine Physician
  • Bryant, AR
  • NPI 1144559287
  NPD (past)
• St Vincent Infirmary Medical Center

  • Psychiatric Hospital Unit
  • Little Rock, AR
  • NPI 1710442801
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Baptist Health

  • General Acute Care Hospital
  • Little Rock, AR
  • NPI 1043240682
  Care Compare affiliation
• Bradley County Medical Center

  • Critical Access Hospital
  • Warren, AR
  • NPI 1194741611
  Care Compare affiliation
• Care IV, Inc.

  • Home Health Agency
  • Little Rock, AR
  • NPI 1275520652
  Care Compare affiliation
• Jefferson Hospital Association Inc

  • General Acute Care Hospital
  • Pine Bluff, AR
  • NPI 1710931985
  Care Compare affiliation
• Saline Hospital LLC

  • General Acute Care Hospital
  • Benton, AR
  • NPI 1235111071
  Care Compare affiliation
• St Vincent Infirmary Medical Center

  • Psychiatric Hospital Unit
  • Little Rock, AR
  • NPI 1710442801
  Care Compare affiliation
• St Vincent Infirmary Medical Center

  • General Acute Care Hospital
  • Little Rock, AR
  • NPI 1780684431
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1140134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695254400000",
    "number": "1003881749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 55050",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722155050",
            "telephone_number": "501-906-3000",
            "fax_number": "501-537-1875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8901 CARTI WAY",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722056523",
            "telephone_number": "501-906-3000",
            "fax_number": "501-907-8367"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRIZZOLARA",
        "first_name": "JOHN",
        "middle_name": "PAUL",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-17",
        "last_updated": "2023-09-21",
        "certification_date": "2023-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "AR",
            "license": "C5910",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "340010630",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "114290001",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jonathan Edward Bristow, CIT
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• Reeshema Britt
• Britta Barlogie, LLC
• Calvin P. Britton III, DPM
• Ina Rae Broadaway, PTA
• Brannon G Broadfoot
• Izah Broadus
• J. Broadwater, MD
• Grant Broadway

• Urology Physician in Little Rock, AR
• Providers in Little Rock, AR by specialty
• Urology Physician in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.