Organization Active NPI

Spartan Health & Fitness

  • Primary Care Clinic/Center
  • Jonesboro, AR
National Provider Identifier
1205467123
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
SPARTAN HEALTH & FITNESS
Doing business as
Spartan Health & Fitness
Practice address
2007 E Nettleton Ave Ste B
Jonesboro, AR 72401-5286
Phone
(870) 520-5013
NPI assigned
Jan 29, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Authorized official

Name
Dr. Bradford W Stewart, MDNPI 1780996793
Title
Owner/Manager
Phone
(479) 799-5520

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

2007 E Nettleton Ave Ste B
Jonesboro, AR 72401-5286

Mailing address

3028 County Road 751
Jonesboro, AR 72405-6811
Phone (479) 799-5520

Other names 1

  • Spartan Health & Fitness Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL spartanhfjonesboro@gmail.com Direct

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1580256000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1205467123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3028 COUNTY ROAD 751",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724056811",
            "telephone_number": "479-799-5520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2007 E NETTLETON AVE STE B",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724015286",
            "telephone_number": "870-520-5013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPARTAN HEALTH & FITNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-29",
        "last_updated": "2023-03-07",
        "certification_date": "2020-01-29",
        "status": "A",
        "authorized_official_last_name": "STEWART",
        "authorized_official_first_name": "BRADFORD",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER/MANAGER",
        "authorized_official_telephone_number": "479-799-5520",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "spartanhfjonesboro@gmail.com",
            "affiliation": "N",
            "endpointDescription": "practice email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "email",
            "address_1": "2007 E Nettleton Ave Ste B",
            "city": "Jonesboro",
            "state": "AR",
            "country_code": "US",
            "postal_code": "724015286",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Spartan Health & Fitness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Jonesboro, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.