Robert Brice Scott, M.D.
Individual provider Active NPI Family Medicine Physician · Gould, AR
NPI 1033368246 · NPPES record last updated Oct 17, 2019
Key facts
- NPI
- 1033368246
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- C-6467 (AR)
- Practice address
- 407 South Gould Ave.
Gould, AR 71643-0000 - Phone
- (870) 263-4317
- Fax
- (870) 263-4782
- NPI assigned
- Sep 11, 2008
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 6
Medicare Care Compare profile
- Specialty
- General Practice
- Education
- University of Arkansas College of Medicine, 1983
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Ascension Depaul Services
Marillac Community Health Centers
Practice addresses (Care Compare)
145 W Waterman St
Dumas, AR 71639-2139
Phone (870) 382-4878
407 S Gould Ave
Gould, AR 71643-5041
Phone (870) 263-4317
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 |
|---|---|---|---|---|
| I20090909000203 | AR | Practitioner - General Practice |
2567517956 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C6467 | AR | MD | General Practice Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Marillac Community Health Centers | Current |
Accepting new patients | |
| Ascension Depaul Services | Family Medicine | Current |
Accepting new patients |
| Marillac Community Health Centers | Current |
Accepting new patients | |
| Ascension Depaul Services | Current |
Accepting new patients |
Locations
145 W Waterman St
Dumas, AR 71639
Phone (870) 382-3308
3201 S Carrollton Ave
New Orleans, LA 70118
Phone (504) 207-3019
Interoperability endpoints
- https://fhir-usa.unify.chbase.com/org/deltamh-91f47cd8
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | C6467 | AR | |
| Family Medicine Physician | 207Q00000X | C-6467 | AR | Yes |
Addresses
Primary practice location
407 South Gould Ave.
Gould, AR 71643-0000
Mailing address
PO Box 158
Dumas, AR 71639-0158
Phone (870) 382-3080
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 114525001 | Medicaid | AR |
Other providers in Gould, AR
- Terenisha Deshon Alexandria Loudermilk
- Marillac Community Health Centers
- Rose Marie Newby
- Lerizza D Nunag
- Shundricka Rochelle Reddick
- United States
- Charles J Woodyard
All providers in Gould, AR · Family Medicine 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 Oct 17, 2019. 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.