Bryan Abernathy, M.D., P.a.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

R3155 Issued in AR

Legal business name

BRYAN ABERNATHY, M.D., P.A.

Doing business as

Abernathy Clinic
BRYAN ABERNATHY MD PA DBA ABERNATHY CLINIC

Practice address

1806 N Crossover Rd
Suite 4
Fayetteville, AR 72701-2725

Phone

(479) 521-5603

Fax

(479) 521-5773

NPI assigned

Jan 12, 2011

Organization subpart

No

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

Authorized official

Name

Bryan E Abernathy, MDNPI 1649218892

Title

Doctor

Phone

(479) 521-5603

Specialties & licenses 1

Addresses

Other names 2

• Abernathy Clinic Doing business as
• BRYAN ABERNATHY MD PA DBA ABERNATHY CLINIC Doing business as

Medicare fee-for-service enrollment

Enrolled in AR

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/10068/brand/1/csg/1/fhir/r4

Practitioners 1

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

• Bryan E Abernathy, M.D

  • Family Medicine Physician
  • Fayetteville, AR
  • NPI 1649218892
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1294790400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1688428800000",
    "number": "1023313731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1806 N CROSSOVER RD",
            "address_2": "SUITE 4",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727012725",
            "telephone_number": "479-521-5603",
            "fax_number": "479-521-5773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1806 N CROSSOVER RD",
            "address_2": "SUITE 4",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727012725",
            "telephone_number": "479-521-5603",
            "fax_number": "479-521-5773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRYAN ABERNATHY, M.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-12",
        "last_updated": "2023-07-04",
        "certification_date": "2023-07-04",
        "status": "A",
        "authorized_official_last_name": "ABERNATHY",
        "authorized_official_first_name": "BRYAN",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "479-521-5603",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "AR",
            "license": "R3155",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Abernathy Clinic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "BRYAN ABERNATHY MD PA DBA ABERNATHY CLINIC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Joshua Brudi, DDS
• Katherine Bruick
• Emily J Brumley
• Jennifer Nicole Bruner
• John Brunner III, MD
• Kailey Buck, LPC
• Lauryn Jade Buckner
• Ashley Budovec, LCSW
• Brian W. Buell, O.D.
• Michael L. Buffington, M.D.

• Family Medicine Physician in Fayetteville, AR
• Providers in Fayetteville, AR by specialty
• Family Medicine Physician in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 4, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.