Active NPI
P B Simpson Jr., MD
- Specialist
- Pine Bluff, AR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- R2287
- Practice address
- 1609 W 40TH Ave
Suite 501
Pine Bluff, AR 71603-6319 - Phone
- (870) 536-8547
- Fax
- (870) 536-6452
- NPI assigned
- Jan 18, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | R2287 | AR | Primary |
| Neurological Surgery Physician | 207T00000X | R2287 | AR |
Addresses
Primary practice location
1609 W 40TH Ave
Suite 501
Pine Bluff, AR 71603-6319
Mailing address
1609 W 40TH Ave
Suite 501
Pine Bluff, AR 71603-6319
Phone (870) 536-8547
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 102951001 | Medicaid | AR |
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
Care Compare profile
Medicare Care Compare- Specialty
- Neurosurgery
- Education
- University of Mississippi School of Medicine, 1968
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
9601 Baptist Health Dr
Suite 750
Little Rock, AR 72205-6370
Phone (501) 224-0200
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R2287 | AR | MD | Neurological Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Arkansas Health Group | Neurological Surgery | Current | Accepting new patients |
| Arkansas Health Group | Current | Accepting new patients |
Locations
815 Hogan Ln
Ste 5
Conway, AR 72034
Phone (501) 329-1888
9601 Baptist Health Dr
Ste 750
Little Rock, AR 72205
11001 Executive Center Dr
Ste 200
Little Rock, AR 72211
Phone (501) 812-7215
Interoperability endpoints
- psimpson4112@direct.baptist-healthar.org
Organizations & group practices 2
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.
-
- Neurological Surgery Physician
- Little Rock, AR
- NPI 1346610946
-
- Surgery Physician
- Stuttgart, AR
- NPI 1952840555
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Little Rock, AR
- NPI 1043240682
-
- General Acute Care Hospital
- Monticello, AR
- NPI 1962283192
-
- General Acute Care Hospital
- Pine Bluff, AR
- NPI 1710931985
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137542400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1459209600000",
"number": "1215917075",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1609 W 40TH AVE",
"address_2": "SUITE 501",
"city": "PINE BLUFF",
"state": "AR",
"postal_code": "716036319",
"telephone_number": "870-536-8547",
"fax_number": "870-536-6452"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1609 W 40TH AVE",
"address_2": "SUITE 501",
"city": "PINE BLUFF",
"state": "AR",
"postal_code": "716036319",
"telephone_number": "870-536-8547",
"fax_number": "870-536-6452"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIMPSON",
"first_name": "P",
"middle_name": "B",
"name_suffix": "Jr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-18",
"last_updated": "2016-03-29",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "AR",
"license": "R2287",
"primary": true
},
{
"code": "207T00000X",
"taxonomy_group": "",
"desc": "Neurological Surgery",
"state": "AR",
"license": "R2287",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "102951001",
"state": "AR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Pine Bluff, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2016; 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.
- 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.