Organization Active NPI

Digestive Diseases Clinic of Hot Springs

  • Gastroenterology Physician
  • Hot Springs, AR
National Provider Identifier
1053424689
Registry record updated Dec 4, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
Legal business name
DIGESTIVE DISEASES CLINIC OF HOT SPRINGS
Practice address
151 McGowan CT
Hot Springs, AR 71913-6451
Phone
(501) 625-7727
Fax
(501) 625-7730
NPI assigned
Aug 17, 2006
Last updated
Dec 4, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2012

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

Authorized official

Name
Dr. John Oliver Brandt, M.D.NPI 1558350900
Title
Owner/President
Phone
(501) 625-7727

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X NU Primary

Addresses

Primary practice location

151 McGowan CT
Hot Springs, AR 71913-6451

Mailing address

151 McGowan CT
Hot Springs, AR 71913-6451
Phone (501) 625-7727

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050808001074 AR Part B Supplier - Clinic/Group Practice 8628007812 Receives reassigned benefits from 1 practitioner
Practice locations: Hot Springs, AR

National Provider Directory

National Provider Directory

Locations

151 McGowan Ct
Hot Springs National Park, AR 71913
Phone (501) 623-4101

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1155772800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1354579200000",
    "number": "1053424689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "151 MCGOWAN CT",
            "city": "HOT SPRINGS",
            "state": "AR",
            "postal_code": "719136451",
            "telephone_number": "501-625-7727",
            "fax_number": "501-625-7730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "151 MCGOWAN CT",
            "city": "HOT SPRINGS",
            "state": "AR",
            "postal_code": "719136451",
            "telephone_number": "501-625-7727",
            "fax_number": "501-625-7730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIGESTIVE DISEASES CLINIC OF HOT SPRINGS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-17",
        "last_updated": "2012-12-04",
        "status": "A",
        "authorized_official_last_name": "BRANDT",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "OLIVER",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "501-625-7727",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hot Springs, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.