NPIMap

Organization Active NPI

Noydeen Medical Group Bryant

  • Internal Medicine Physician
  • Bryant, AR
National Provider Identifier
1043708282
Registry record updated Apr 24, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
E-7341 Issued in AR
Legal business name
NOYDEEN MEDICAL GROUP BRYANT
Practice address
2301 Springhill Rd Ste 110
Bryant, AR 72019-7573
Phone
(501) 575-0081
NPI assigned
Apr 24, 2018
Organization subpart
Yes
Parent organization
NOYDEEN SISTERS MEDICAL GROUP & CLINICS, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 24, 2018

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

Authorized official

Name
Dr. Ahmed Ali, MD
Title
Authorized Official
Phone
(501) 575-0081

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X E-7341 AR Primary

Addresses

Primary practice location

2301 Springhill Rd Ste 110
Bryant, AR 72019-7573

Mailing address

2301 Springhill Rd Ste 110
Bryant, AR 72019-7573
Phone (501) 575-0081

Other identifiers 1

IdentifierTypeStateIssuer
219630002MedicaidAR

National Provider Directory

National Provider Directory
Tax ID family
Noydeen Medical Group- Russellville4 organizations share this tax ID, including this one
Part of
Noydeen Medical Group- Russellville

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1524528000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1524528000000",
    "number": "1043708282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2301 SPRINGHILL RD STE 110",
            "city": "BRYANT",
            "state": "AR",
            "postal_code": "720197573",
            "telephone_number": "501-575-0081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2301 SPRINGHILL RD STE 110",
            "city": "BRYANT",
            "state": "AR",
            "postal_code": "720197573",
            "telephone_number": "501-575-0081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOYDEEN MEDICAL GROUP BRYANT",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NOYDEEN SISTERS MEDICAL GROUP & CLINICS, INC",
        "enumeration_date": "2018-04-24",
        "last_updated": "2018-04-24",
        "status": "A",
        "authorized_official_last_name": "ALI",
        "authorized_official_first_name": "AHMED",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "501-575-0081",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "AR",
            "license": "E-7341",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "219630002",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bryant, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.