NPIMap

Individual provider Active NPI

Brandon T Dodds, PA-C

  • Medical Physician Assistant
  • Searcy, AR
National Provider Identifier
1033530605
Registry record updated Aug 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA-546 Issued in AR
Practice address
710 Marion St
Searcy, AR 72143-4832
Phone
(501) 278-2800
Fax
(501) 278-8317
NPI assigned
Dec 26, 2013
Last updated
Aug 4, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 4, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA-546 AR
Medical Physician Assistant 363AM0700X PA-546 AR Primary

Addresses

Primary practice location

710 Marion St
Searcy, AR 72143-4832

Mailing address

5 Saint Vincent Cir Ste 100
Little Rock, AR 72205-5415
Phone (501) 663-6455

Other practice location 1

5 Saint Vincent Cir Ste 100
Little Rock, AR 72205-5415
Phone (501) 663-6455

Other identifiers 1

IdentifierTypeStateIssuer
203138795MedicaidAR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140514001988 AR Practitioner - Physician Assistant 9537382809 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2013
Medicare assignment
May accept Medicare assignment
Group practices
White County Medical CenterGroup PAC ID 4880688654, 182 clinicians

Practice addresses (Care Compare)

2505 W Beebe Expressway
Suite 101
Searcy, AR 72143-4802
Phone (501) 278-2800

2900 Hawkins Dr
Searcy, AR 72143-4802
Phone (501) 278-2800

2908 Hawkins Dr
Searcy, AR 72143-4802
Phone (501) 203-0055

3214 E Race Ave
Searcy, AR 72143-4810

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Arkansas Health Group Current Accepting new patients
White County Medical Center CurrentSince Dec 11, 2017 Accepting new patients
Arkansas Central Primary Care PLLC CurrentSince Sep 8, 2017 Accepting new patients
White County Medical Center CurrentSince Dec 11, 2017 Accepting new patients
Arkansas Urology, P.a. PastSince Aug 10, 2020 Accepting new patients
Epoch Health - Conway, PLLC PastSince Jun 1, 2014 Accepting new patients
White County Medical Center Past Accepting new patients
Physicians Network Inc Dba Cabot Medical Clinic Past Accepting new patients

Locations

2037 W Main St
Cabot, AR 72023
Phone (501) 843-4555

2900 Hawkins Dr
Searcy, AR 72143
Phone (501) 278-2800

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/10448/brand/1/csg/1/fhir/r4

Organizations & group practices 9

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

Hospital & facility affiliations 20

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

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1388016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628035200000",
    "number": "1033530605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 SAINT VINCENT CIR STE 100",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722055415",
            "telephone_number": "501-663-6455",
            "fax_number": "501-978-1575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "710 MARION ST",
            "city": "SEARCY",
            "state": "AR",
            "postal_code": "721434832",
            "telephone_number": "501-278-2800",
            "fax_number": "501-278-8317"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5 Saint Vincent Cir Ste 100",
            "address_purpose": "LOCATION",
            "city": "Little Rock",
            "state": "AR",
            "postal_code": "722055415",
            "country_code": "US",
            "telephone_number": "501-663-6455",
            "fax_number": "501-978-1575",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DODDS",
        "first_name": "BRANDON",
        "middle_name": "T",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-12-26",
        "last_updated": "2021-08-04",
        "certification_date": "2021-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AR",
            "license": "PA-546",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "AR",
            "license": "PA-546",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "203138795",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Searcy, AR

Sources for this page

Verify at the official NPI Registry.