James Bradford Bates
Individual provider Active NPI Registered Nurse · Trumann, AR
NPI 1013531391 · NPPES record last updated Jun 3, 2020
Key facts
- NPI
- 1013531391
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- R094519 (AR)
- Practice address
- 1005 Balcom LN
Trumann, AR 72472-9502 - Phone
- (870) 932-3600
- NPI assigned
- Jun 3, 2020
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R094519 | AR | MD | Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | R094519 | AR | Yes |
Addresses
Primary practice location
1005 Balcom LN
Trumann, AR 72472-9502
Mailing address
1900 Stillwater Dr
Jonesboro, AR 72404-9119
Phone (870) 932-3600
Other providers in Trumann, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 3, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.