Active NPI
Spartan Health & Fitness
- Primary Care Clinic/Center
- Jonesboro, AR
National Provider Identifier
1205467123
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Clinic/Center
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Bradford W Stewart, MD
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | spartanhfjonesboro@gmail.com | Direct |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Medicine Physician
- Jonesboro, AR
- NPI 1780996793
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.