Gregory S Bienvenu, M.D.

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

License

R-3940 Issued in AR

Practice address

8907 Kanis Rd Ste 330
Little Rock, AR 72205-6451

Phone

(501) 224-8810

Fax

(501) 224-9076

NPI assigned

Nov 1, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Interoperability endpoints

• Direct secure messaging: gregory-bienvenu@ark-napa.e-mdsdirect.com

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

{
    "created_epoch": "1130803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596067200000",
    "number": "1053302893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 17930",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722227930",
            "telephone_number": "501-663-0490",
            "fax_number": "501-663-5948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8907 KANIS RD STE 330",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722056451",
            "telephone_number": "501-224-8810",
            "fax_number": "501-224-9076"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3401 Springhill Dr Ste 325",
            "address_purpose": "LOCATION",
            "city": "North Little Rock",
            "state": "AR",
            "postal_code": "721172945",
            "country_code": "US",
            "telephone_number": "501-955-0320",
            "fax_number": "501-945-7097",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BIENVENU",
        "first_name": "GREGORY",
        "middle_name": "S",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-01",
        "last_updated": "2020-07-30",
        "certification_date": "2020-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "AR",
            "license": "R-3940",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "115723001",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "52915",
            "state": "AR"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "gregory-bienvenu@ark-napa.e-mdsdirect.com",
            "affiliation": "N",
            "endpointDescription": "EMD's messages",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "8907 Kanis Rd Ste 330",
            "city": "Little Rock",
            "state": "AR",
            "country_code": "US",
            "postal_code": "722056451",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Calvin Bice, MD
• Courtney C Bickerstaff, APN
• Suzanne Leigh Biddy, MS, CCC-SLP
• Rachel Jones Biedron, MS, CCC-SLP
• Kevin James Bielamowicz
• Hayley Suzanne Bierman, APN
• Marcelo P Bigarella, MD
• Hugh F Bigg, D. O.
• Rebecca K Biggin
• Kayla Biggs

• Nephrology Physician in Little Rock, AR
• Providers in Little Rock, AR by specialty
• Nephrology Physician in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2020; 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.