Active NPI
Brian Beard, DC
- Chiropractor
- Conway, AR
National Provider Identifier
1205250453
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 16035
- Practice address
- 2415 Prince St
Conway, AR 72034-3746 - Phone
- (501) 208-7442
- NPI assigned
- Feb 8, 2014
- Sex
- Male
- Sole proprietor
- Yes
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.
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Other, 2013
- Medicare assignment
- May accept Medicare assignment
- Group practices
- Beard Family Chiropractic LLC
Practice addresses (Care Compare)
675 Dave Ward Dr
Suite 105
Conway, AR 72034-7083
Phone (501) 504-6280
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AR
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20140908000682 | AR | Practitioner - Chiropractic | 4688892565 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Beard Family Chiropractic, LLC | Chiropractor | Current | Accepting new patients |
Locations
675 Dave Ward Dr
Ste 105
Conway, AR 72034
Phone (501) 504-6280
2415 Prince St
Conway, AR 72034
Phone (501) 208-7442
2415 Prince St
Ste 103
Conway, AR 72034
Phone (501) 504-6280
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 16035 | AR | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
2415 Prince St
Conway, AR 72034-3746
Mailing address
2415 Prince St
Conway, AR 72034-3746
Phone (501) 208-7442
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Feb 8, 2014.
{
"created_epoch": "1391817600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1391817600000",
"number": "1205250453",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2415 PRINCE ST",
"city": "CONWAY",
"state": "AR",
"postal_code": "720343746",
"telephone_number": "501-208-7442"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2415 PRINCE ST",
"city": "CONWAY",
"state": "AR",
"postal_code": "720343746",
"telephone_number": "501-208-7442"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BEARD",
"first_name": "BRIAN",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-02-08",
"last_updated": "2014-02-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "AR",
"license": "16035",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Conway, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.