Well Life Family Medicine Inc

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

T2018-104 Issued in AR

Legal business name

WELL LIFE FAMILY MEDICINE INC

Practice address

1623 Rogers Ave
Fort Smith, AR 72901-3826

Phone

(479) 782-6318

Fax

(479) 782-7028

NPI assigned

May 29, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Bryan K Ledbetter, D.O.,MBA

Title

D.O./ Owner

Phone

(479) 782-6318

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Brice Harader-Pate, APRN-CNP

  • Family Nurse Practitioner
  • Tulsa, OK
  • NPI 1962894519
  NPD (past)
• Erin S Treat, APRN

  • Nurse Practitioner
  • Tulsa, OK
  • NPI 1528543014
  NPD (past)

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

{
    "created_epoch": "1527552000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1527552000000",
    "number": "1063903748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1623 ROGERS AVE",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729013826",
            "telephone_number": "479-782-6318",
            "fax_number": "479-782-7028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1623 ROGERS AVE",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729013826",
            "telephone_number": "479-782-6318",
            "fax_number": "479-782-7028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELL LIFE FAMILY MEDICINE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-29",
        "last_updated": "2018-05-29",
        "status": "A",
        "authorized_official_last_name": "LEDBETTER",
        "authorized_official_first_name": "BRYAN",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "D.O./ OWNER",
        "authorized_official_telephone_number": "479-782-6318",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O.,MBA"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": "AR",
            "license": "T2018-104",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stacia Wehunt, APRN
• John Joseph Weisse, MD PH D
• Abigail Welborn, QBHP
• Alice A Welch, ANP
• Sydney Welch
• Wellness and Special Needs Clinic of West Arkansas
• Cheryl Wells
• John D Wells, MD
• Karrie Camille Wells, CRNA
• Lanie Wells

• General Practice Physician in Fort Smith, AR
• Providers in Fort Smith, AR by specialty
• General Practice Physician in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 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.