Kurt W Brawner, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

2689 Issued in AR

Practice address

668 Falls Blvd N
Wynne, AR 72396-2614

Phone

(870) 238-3535

NPI assigned

Aug 20, 2013

Last updated

Aug 20, 2013By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AR

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

Southern College of Optometry, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Mitchell Eye Clinic PA IncGroup PAC ID 0547550899, 2 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• The Ridge Vision Clinic PLLC

  • Optometrist
  • Wynne, AR
  • NPI 1821951062
  Medicare reassignment NPD Authorized official
• Mitchell Eye Clinic PA Inc

  • Optometrist
  • Wynne, AR
  • NPI 1790146249
  Medicare reassignment Care Compare group
• Billy J Mitchell Jr., O.D.

  • Optometrist
  • Wynne, AR
  • NPI 1295717940
  Medicare reassignment

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

{
    "created_epoch": "1376956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1376956800000",
    "number": "1073946596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "668 FALLS BLVD N",
            "city": "WYNNE",
            "state": "AR",
            "postal_code": "723962614",
            "telephone_number": "870-238-3535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "668 FALLS BLVD N",
            "city": "WYNNE",
            "state": "AR",
            "postal_code": "723962614",
            "telephone_number": "870-238-3535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRAWNER",
        "first_name": "KURT",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-08-20",
        "last_updated": "2013-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AR",
            "license": "2689",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Pleasants Bradshaw, M.D.
• Mark Standridge Bradshaw, M.D.
• Paige Alison Branham
• Brawner Counseling, LLC
• Elizabeth A Brawner, APRN
• Leann Brawner
• Robert Dunn Brawner Jr., PT
• Eryn Brown, OD
• Lauren A Brown
• Olivia Myers Bunce, DC

• Optometrist in Wynne, AR
• Providers in Wynne, AR by specialty
• Optometrist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.