Individual provider Active NPI

Brandie McNabb Martin, M.D.

  • Obstetrics & Gynecology Physician
  • Conway, AR
National Provider Identifier
1154524031
Registry record updated Jun 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
E-5330 Issued in AR
Practice address
2519 College Ave
Conway, AR 72034-6135
Phone
(501) 450-3920
Fax
(501) 450-7718
NPI assigned
Jun 7, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X E-5330 AR Primary

Addresses

Primary practice location

2519 College Ave
Conway, AR 72034-6135

Mailing address

2519 College Ave
Conway, AR 72034-6135
Phone (501) 450-3920

Other names 1

  • Dr. Brandie McNabb Martin Professional 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
I20070829000079 AR Practitioner - Obstetrics/Gynecology 3870685357 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Louisiana State University School of Medicine in Shreveport, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Womens Healthcare of Arkansas PLLCGroup PAC ID 1658890595, 48 clinicians
Conway Womens Health Center, PAGroup PAC ID 4688651433, 6 clinicians

Practice addresses (Care Compare)

2519 College Ave
Conway, AR 72034-6135
Phone (501) 450-3920

2526 Hwy 65 S 205
Ozark Health Specialty Clinic the Doctors B
Clinton, AR 72031-6678
Phone (501) 745-9446

Hospital & facility affiliations

  • Conway Regional Medical Center, Inc Hospital, Conway, AR, CCN 040029

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
E-5330ARMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Womens Healthcare of Arkansas PLLC Obstetrics & Gynecology CurrentSince Jun 1, 2025 Accepting new patients
Conway Womens Health Center PA CurrentSince Aug 1, 2007 Accepting new patients
DHP of Arkansas PA Obstetrics & Gynecology CurrentSince Oct 1, 2024 Accepting new patients

Locations

2526 Highway 65 S
Ste 205
Clinton, AR 72031
Phone (501) 745-9403

2519 College Ave
Conway, AR 72034
Phone (501) 327-6547

2515 College Ave
Conway, AR 72034
Phone (501) 205-1215

2200 Ada Ave
Ste 301
Conway, AR 72034
Phone (501) 358-6560

3333 Springhill Dr
North Little Rock, AR 72117
Phone (501) 202-3000

Interoperability endpoints

  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.441.1251
  • Direct secure messaging: brandie.martin.1@32099.direct.athenahealth.com

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.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1181174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623110400000",
    "number": "1154524031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2519 COLLEGE AVE",
            "city": "CONWAY",
            "state": "AR",
            "postal_code": "720346135",
            "telephone_number": "501-450-3920",
            "fax_number": "501-450-7718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2519 COLLEGE AVE",
            "city": "CONWAY",
            "state": "AR",
            "postal_code": "720346135",
            "telephone_number": "501-450-3920",
            "fax_number": "501-450-7718"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "BRANDIE",
        "middle_name": "MCNABB",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-07",
        "last_updated": "2021-06-08",
        "certification_date": "2021-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "AR",
            "license": "E-5330",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BRANDIE",
            "last_name": "MARTIN",
            "middle_name": "MCNABB",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Conway, AR

Sources for this page

Verify at the official NPI Registry.