Individual provider Active NPI

Lewis Bradley Fields, M.D.

  • Obstetrics & Gynecology Physician
  • Jonesboro, AR
National Provider Identifier
1205806510
Registry record updated Sep 12, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
N6969 Issued in AR
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, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
AS0140035OtherHUMANA TRICARE
12878000040OtherARQUALCHOICE
111703001MedicaidAR
9813669OtherCIGNA
54057OtherARBLUE CROSS
160028625OtherARMEDICARE RAILROAD COARRIE
770138201OtherAREDS BREASTCARE

Other names 1

  • Brad Fields Professional name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060725000071 AR Practitioner - Obstetrics/Gynecology 4284600651 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
N6969ARMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St Bernards Physician Clinics Inc CurrentSince Oct 7, 2024 Accepting new patients
St Bernards Hospital Inc CurrentSince Apr 1, 2022 Accepting new patients
St Bernards Hospital Inc. CurrentSince Mar 29, 2018 Accepting new patients
St Bernards Physician Clinics Inc Current Accepting new patients
St. Bernards Hospital, Inc CurrentSince Mar 29, 2018 Accepting new patients
St Bernards Physician Clinics Inc CurrentSince Oct 7, 2024 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.

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

Verify at the official NPI Registry.