Individual provider Active NPI

Bruce Leroy Crabtree, MD

  • Emergency Medicine Physician
  • Fort Smith, AR
National Provider Identifier
1083635577
Registry record updated Nov 9, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
C-7259 Issued in AR
Practice address
7301 Rogers Ave
Fort Smith, AR 72903-4651
Phone
(479) 314-6242
NPI assigned
Jul 21, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 9, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X C-7259 AR Primary

Addresses

Primary practice location

7301 Rogers Ave
Fort Smith, AR 72903-4651

Mailing address

7301 Rogers Ave
Fort Smith, AR 72903-4651
Phone (479) 314-6242

Other identifiers 1

IdentifierTypeStateIssuer
114943001MedicaidAR

Medicare participation

Medicare enrollment files
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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040226000889 AR Practitioner - Emergency Medicine 0648166181 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
University of Arkansas College of Medicine, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mercy Northwest Arkansas Ambulatory Services, LLCGroup PAC ID 3779827993, 50 clinicians
Mercy Clinic Fort Smith CommunitiesGroup PAC ID 3870668510, 361 clinicians

Practice addresses (Care Compare)

4870 Elm Springs Rd
Suite 101
Springdale, AR 72762-3749
Phone (479) 318-0161

7301 Rogers Ave
Fort Smith, AR 72903-4100
Phone (479) 314-5175

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Hospital Ozark CurrentSince Apr 11, 2010 Accepting new patients
Mercy Clinic Fort Smith Communities CurrentSince Jul 1, 2008 Accepting new patients
Mercy Hospital Paris CurrentSince Apr 11, 2010 Accepting new patients
Mercy Hospital Waldron CurrentSince Apr 11, 2010 Accepting new patients
Mercy Hospital Waldron Current Accepting new patients
Mercy Northwest Arkansas Ambulatory Services LLC CurrentSince Nov 28, 2022 Accepting new patients
Mercy Clinic Fort Smith Communities CurrentSince Jul 1, 2008 Accepting new patients
Mercy Hospital Ozark CurrentSince Apr 11, 2010 Accepting new patients
Mercy Hospital Paris CurrentSince Apr 11, 2010 Accepting new patients
Mercy Hospital Paris CurrentSince Apr 11, 2010 Accepting new patients
Mercy Hospital Paris Current Accepting new patients
Van Buren Hma Inc Past Accepting new patients
Nes Western Arkansas, Inc Past Accepting new patients
Mercy Health Northwest Arkansas Communities Past Accepting new patients

Locations

7001 Rogers Ave
Ste 200
Fort Smith, AR 72903
Phone (479) 314-4620

5501 Euper Ln
Fort Smith, AR 72903
Phone (479) 314-6000

7301 Rogers Ave
Fort Smith, AR 72903
Phone (479) 314-4600

801 W River St
Ozark, AR 72949
Phone (479) 667-4138

500 E Academy St
Paris, AR 72855
Phone (479) 963-6101

2012 S Promenade Blvd
Rogers, AR 72758
Phone (479) 616-1485

4870 Elm Springs Rd
Ste 101
Springdale, AR 72762
Phone (479) 318-0161

1341 W 6th St
Waldron, AR 72958
Phone (479) 637-2136

Organizations & group practices 16

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1257724800000",
    "number": "1083635577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7301 ROGERS AVE",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729034651",
            "telephone_number": "479-314-6242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7301 ROGERS AVE",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729034651",
            "telephone_number": "479-314-6242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRABTREE",
        "first_name": "BRUCE",
        "middle_name": "LEROY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-21",
        "last_updated": "2009-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "AR",
            "license": "C-7259",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "114943001",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Smith, AR

Sources for this page

Verify at the official NPI Registry.