Individual provider Active NPI

Vanessa Hardin Branch, M.D.

  • Diagnostic Radiology Physician
  • Rogers, AR
National Provider Identifier
1104903517
Registry record updated Dec 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
E-7764 Issued in AR
Practice address
2000 S 42ND St Ste 120
Rogers, AR 72758-2001
Phone
(479) 278-7153
NPI assigned
Nov 1, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neuroradiology Physician 2085N0700X E-7764 AR
Diagnostic Radiology Physician 2085R0202X E-7764 AR Primary

Addresses

Primary practice location

2000 S 42ND St Ste 120
Rogers, AR 72758-2001

Mailing address

2000 S 42ND St Ste 120
Rogers, AR 72758-2001
Phone (479) 278-7153

Other identifiers 1

IdentifierTypeStateIssuer
5I260OtherARAR BCBS

Other names 1

  • Lilia Vanessa Hardin Former name

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
I20121105000100 AR Practitioner - Diagnostic Radiology 6608056791

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 2005
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

3344 N Futrall Dr
Fayetteville, AR 72703-4057

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Associates of Northwest Arkansas, PA Diagnostic Radiology Current Accepting new patients
Veralux CurrentSince Dec 14, 2025 Accepting new patients
Cira Michigan PC Diagnostic Radiology Past Accepting new patients

Locations

55 W Sunbridge Dr
Fayetteville, AR 72703
Phone (479) 442-5266

3344 N Futrall Dr
Fayetteville, AR 72703
Phone (479) 582-7213

2000 S 42nd St
Ste 120
Rogers, AR 72758
Phone (479) 278-7153

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/18403/brand/1/csg/1/fhir/r4

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765324800000",
    "number": "1104903517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 S 42ND ST STE 120",
            "city": "ROGERS",
            "state": "AR",
            "postal_code": "727582001",
            "telephone_number": "479-278-7153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 S 42ND ST STE 120",
            "city": "ROGERS",
            "state": "AR",
            "postal_code": "727582001",
            "telephone_number": "479-278-7153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRANCH",
        "first_name": "VANESSA",
        "middle_name": "HARDIN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-01",
        "last_updated": "2025-12-10",
        "certification_date": "2025-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085N0700X",
            "taxonomy_group": "",
            "desc": "Radiology, Neuroradiology",
            "state": "AR",
            "license": "E-7764",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "AR",
            "license": "E-7764",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AR BCBS",
            "identifier": "5I260",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LILIA",
            "last_name": "HARDIN",
            "middle_name": "VANESSA",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Rogers, AR

Sources for this page

Verify at the official NPI Registry.