B a Scroggins, Inc.

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

B A SCROGGINS, INC.

Practice address

1355 Dave Ward Dr Ste 101
Conway, AR 72034-7082

Phone

(501) 269-5105

NPI assigned

Sep 8, 2021

Organization subpart

No

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

Authorized official

Name

Dr. Brent Ashley Scroggins, MDNPI 1205032745

Title

Ceo

Phone

(501) 269-5105

Specialties & licenses 1

Addresses

Other names 1

• Scroggins Family Medicine Doing business as

Medicare fee-for-service enrollment

Enrolled in AR

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Brent A Scroggins, M.D.

  • Family Medicine Physician
  • Morrilton, AR
  • NPI 1205032745
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1631059200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1631059200000",
    "number": "1013686641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 GRANDVIEW HTS",
            "city": "CONWAY",
            "state": "AR",
            "postal_code": "720328875",
            "telephone_number": "501-269-5105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1355 DAVE WARD DR STE 101",
            "city": "CONWAY",
            "state": "AR",
            "postal_code": "720347082",
            "telephone_number": "501-269-5105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "B A SCROGGINS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-08",
        "last_updated": "2021-09-08",
        "certification_date": "2021-09-08",
        "status": "A",
        "authorized_official_last_name": "SCROGGINS",
        "authorized_official_first_name": "BRENT",
        "authorized_official_middle_name": "ASHLEY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "501-269-5105",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Scroggins Family Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Axpm- Conway Dental PLLC
• Rilee Rene Aydelott
• Lindsey Danielle Aylett
• Lakia Lynn Aytch, LCSW
• Jessica Aytes, RECOVERY ASSISTANT
• B. Brooks Lawrence, M.D., P.a.
• Haley Loren Bachusz
• Annette Bacon, RN
• Mallory Bagwell, DO
• Allison Bailey, MS CCC-SLP

• Primary Care Clinic/Center in Conway, AR
• Providers in Conway, AR by specialty
• Primary Care Clinic/Center in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.