Active NPI
Benjamin G McDonald, D.O.
- Family Medicine Physician
- Little Rock, AR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- E-8580
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| E-8580 | AR | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Arkansas Family Care Network | Family Medicine | Current | 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
- https://fhir4.healow.com/fhir/r4/BEEBDD
- 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.
-
- Family Medicine Physician
- North Little Rock, AR
- NPI 1497718134
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Little Rock, AR
- NPI 1043240682
-
- Home Health Agency
- Little Rock, AR
- NPI 1134225451
-
- Rehabilitation Hospital
- Little Rock, AR
- NPI 1215967831
Inpatient rehabilitation facility
-
- General Acute Care Hospital
- North Little Rock, AR
- NPI 1497790042
-
- General Acute Care Hospital
- Benton, AR
- NPI 1235111071
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.