NPIMap

Organization Active NPI

Saline Physician Services, LLC

Doing business as Bryant Medical Clinic

  • Internal Medicine Physician
  • Bryant, AR
National Provider Identifier
1144559287
Registry record updated Oct 12, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
SALINE PHYSICIAN SERVICES, LLC
Doing business as
Bryant Medical Clinic
Practice address
319 Bryant Ave
Suite 1
Bryant, AR 72022-3815
Phone
(501) 653-0353
Fax
(501) 653-0347
NPI assigned
Dec 21, 2009
Last updated
Oct 12, 2015By the provider in NPPES
Organization subpart
Yes
Parent organization
SALINE COUNTY MEDICAL SYSTEMAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 12, 2015

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

Authorized official

Name
Kimberly A Titsworth
Title
Director, Physician Services
Phone
(501) 776-6093

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X AR Primary

Addresses

Primary practice location

319 Bryant Ave
Suite 1
Bryant, AR 72022-3815

Mailing address

PO Box 1615
Searcy, AR 72145-1615
Phone (501) 653-0353

Other identifiers 1

IdentifierTypeStateIssuer
182164002MedicaidAR

Other names 1

  • BRYANT MEDICAL CLINIC Doing business as

National Provider Directory

National Provider Directory

Locations

319 Bryant Ave
Ste 1
Bryant, AR 72022
Phone (501) 653-0353

Practitioners & affiliated clinicians

Practitioners 38

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.

View all 38

NPI Registry JSON

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

{
    "created_epoch": "1261353600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1444608000000",
    "number": "1144559287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1615",
            "city": "SEARCY",
            "state": "AR",
            "postal_code": "721451615",
            "telephone_number": "501-653-0353",
            "fax_number": "501-653-0347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "319 BRYANT AVE",
            "address_2": "SUITE 1",
            "city": "BRYANT",
            "state": "AR",
            "postal_code": "720223815",
            "telephone_number": "501-653-0353",
            "fax_number": "501-653-0347"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SALINE PHYSICIAN SERVICES, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SALINE COUNTY MEDICAL SYSTEM",
        "enumeration_date": "2009-12-21",
        "last_updated": "2015-10-12",
        "status": "A",
        "authorized_official_last_name": "TITSWORTH",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "DIRECTOR, PHYSICIAN SERVICES",
        "authorized_official_telephone_number": "501-776-6093"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AR",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "182164002",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BRYANT MEDICAL CLINIC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bryant, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2015; 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.