Individual provider Active NPI

Benjamin G McDonald, D.O.

  • Family Medicine Physician
  • Little Rock, AR
National Provider Identifier
1184935827
Registry record updated Oct 2, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
E-8580 Issued in AR
Practice address
11415 Executive Center Dr
Little Rock, AR 72211-4489
Phone
(501) 224-5220
Fax
(501) 228-9828
NPI assigned
Jun 28, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X E-8580 AR Primary

Addresses

Primary practice location

11415 Executive Center Dr
Little Rock, AR 72211-4489

Mailing address

11415 Executive Center Dr
Little Rock, AR 72211-4489
Phone (501) 224-5220

Other practice location 1

2504 McCain Blvd Ste 118
North Little Rock, AR 72116-7624
Phone (501) 812-6655

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
I20140904002153 AR Practitioner - Family Practice 5294953279 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Pikeville, Kentucky College of Osteopathic Med, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Arkansas Family Care NetworkGroup PAC ID 0648256800, 30 clinicians

Practice addresses (Care Compare)

11415 Executive Ctr Dr
Barg Family Clinic
Little Rock, AR 72211-4489
Phone (501) 224-5220

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
E-8580ARMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Arkansas Family Care Network Family Medicine CurrentSince Oct 2, 2017 Accepting new patients

Locations

4208 N Rodney Parham Rd
Little Rock, AR 72212
Phone (501) 223-0779

11415 Executive Center Dr
Little Rock, AR 72211
Phone (501) 221-6868

5125 Northshore Dr
North Little Rock, AR 72118

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/BEEBDD
  • Direct secure messaging: benjamin.mcdonald@afcn.eclinicaldirectplus.com

Organizations & group practices 1

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 5

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": "1277683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1506902400000",
    "number": "1184935827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11415 EXECUTIVE CENTER DR",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722114489",
            "telephone_number": "501-224-5220",
            "fax_number": "501-228-9828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11415 EXECUTIVE CENTER DR",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722114489",
            "telephone_number": "501-224-5220",
            "fax_number": "501-228-9828"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2504 McCain Blvd Ste 118",
            "address_purpose": "LOCATION",
            "city": "North Little Rock",
            "state": "AR",
            "postal_code": "721167624",
            "country_code": "US",
            "telephone_number": "501-812-6655",
            "fax_number": "501-812-6677",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCDONALD",
        "first_name": "BENJAMIN",
        "middle_name": "G",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-06-28",
        "last_updated": "2017-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AR",
            "license": "E-8580",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Little Rock, AR

Sources for this page

Verify at the official NPI Registry.