Active NPI
Lewis Bradley Fields, M.D.
- Obstetrics & Gynecology Physician
- Jonesboro, AR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- N6969
- Practice address
- 800 S Church St
Suite 302
Jonesboro, AR 72401-4176 - Phone
- (870) 935-3990
- Fax
- (870) 935-0871
- NPI assigned
- Jan 26, 2006
- Last updated
- Sep 12, 2012
- 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 |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | N6969 | AR | Primary |
Addresses
Primary practice location
800 S Church St
Suite 302
Jonesboro, AR 72401-4176
Mailing address
800 S Church St
Suite 302
Jonesboro, AR 72401-4176
Phone (870) 935-3990
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| AS0140035 | Other | HUMANA TRICARE | |
| 12878000040 | Other | AR | QUALCHOICE |
| 111703001 | Medicaid | AR | |
| 9813669 | Other | CIGNA | |
| 54057 | Other | AR | BLUE CROSS |
| 160028625 | Other | AR | MEDICARE RAILROAD COARRIE |
| 770138201 | Other | AR | EDS BREASTCARE |
Other names 1
- Brad Fields
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| N6969 | AR | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St Bernards Physician Clinics Inc | Current | Accepting new patients | |
| St Bernards Hospital Inc | Current | Accepting new patients | |
| St Bernards Hospital Inc. | Current | Accepting new patients | |
| St Bernards Physician Clinics Inc | Current | Accepting new patients | |
| St. Bernards Hospital, Inc | Current | Accepting new patients | |
| St Bernards Physician Clinics Inc | Current | Accepting new patients | |
| OB-GYN Associates, LTD. | Obstetrics & Gynecology | Past | Accepting new patients |
| Womens Wellness Center of Northeast Arkansas, LTD. | Past | Accepting new patients |
Locations
1005 E Matthews Ave
Jonesboro, AR 72401
Phone (870) 935-1242
225 E Washington Ave
Jonesboro, AR 72401
Phone (870) 207-1630
2712 E Johnson Ave
Jonesboro, AR 72405
Phone (870) 268-4107
800 S Church St
Ste 202
Jonesboro, AR 72401
Phone (870) 934-8808
800 S Church St
Ste 302
Jonesboro, AR 72401
Phone (501) 935-3990
Organizations & group practices 8
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba St Bernards Medical Center
- General Acute Care Hospital
- Jonesboro, AR
- NPI 1336150374
-
dba St Bernards Surgical Associates
- Surgery Physician
- Jonesboro, AR
- NPI 1447923438
-
dba St. Bernards Pregnancy Clinic
- Obstetrics Physician
- Jonesboro, AR
- NPI 1518327287
-
dba St Bernards Medical Center
- General Acute Care Hospital
- Jonesboro, AR
- NPI 1396053096
-
- Primary Care Clinic/Center
- Jonesboro, AR
- NPI 1275204307
-
- Diagnostic Radiology Physician
- Jonesboro, AR
- NPI 1780546051
-
dba McClurkan Clinic For Women
- Specialist
- Jonesboro, AR
- NPI 1295840452
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138233600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1347408000000",
"number": "1205806510",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "800 S CHURCH ST",
"address_2": "SUITE 302",
"city": "JONESBORO",
"state": "AR",
"postal_code": "724014176",
"telephone_number": "870-935-3990",
"fax_number": "870-935-0871"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 S CHURCH ST",
"address_2": "SUITE 302",
"city": "JONESBORO",
"state": "AR",
"postal_code": "724014176",
"telephone_number": "870-935-3990",
"fax_number": "870-935-0871"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FIELDS",
"first_name": "LEWIS",
"middle_name": "BRADLEY",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-26",
"last_updated": "2012-09-12",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "AR",
"license": "N6969",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HUMANA TRICARE",
"identifier": "AS0140035",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "QUALCHOICE",
"identifier": "12878000040",
"state": "AR"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "111703001",
"state": "AR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "9813669",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "54057",
"state": "AR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAILROAD COARRIE",
"identifier": "160028625",
"state": "AR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EDS BREASTCARE",
"identifier": "770138201",
"state": "AR"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "BRAD",
"last_name": "FIELDS",
"credential": "M.D.",
"code": "2",
"type": "Professional Name"
}
]
}
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 Sep 12, 2012; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.