Active NPI
John B Bouldin, MD
- Emergency Medicine Physician
- Little Rock, AR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- E-11849
- Practice address
- 9601 Baptist Health Dr
Little Rock, AR 72205-6321 - Phone
- (501) 202-2300
- Fax
- (501) 202-1449
- NPI assigned
- Mar 23, 2016
- Last updated
- Sep 14, 2026
- 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 |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | E-11849 | AR | Primary |
Addresses
Primary practice location
9601 Baptist Health Dr
Little Rock, AR 72205-6321
Mailing address
11001 Executive Center Dr Ste 200
Little Rock, AR 72211-4393
Phone (501) 812-7215
Other practice location 1
1901 Encore Way
Benton, AR 72019-8896
Phone (501) 213-4500
Other practice location 2
4301 W Markham St # 584
Little Rock, AR 72205-7101
Phone (501) 686-8000
Other practice location 3
300 Werner St
Hot Springs, AR 71913-6406
Phone (501) 622-1043
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
- Emergency Medicine
- Education
- University of Alabama School of Medicine, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2215 Wildwood Ave
Sherwood, AR 72120-5089
Phone (501) 552-7100
9601 Baptist Health Dr
Little Rock, AR 72205-6321
Phone (501) 202-6466
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E-11849 | AR | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Shiloh Emergency Group PLLC | Emergency Medicine | Current | Accepting new patients |
| CHI St Vincent Hospital Hot Springs | Current | Accepting new patients | |
| Baptist Medcare, Inc | Emergency Medicine | Current | Accepting new patients |
| CHI St Vincent Hospital Hot Springs | Emergency Medicine | Current | Accepting new patients |
Locations
300 Werner St
Hot Springs National Park, AR 71913
Phone (501) 622-1000
11001 Executive Center Dr
Ste 200
Little Rock, AR 72211
Phone (501) 812-7215
9601 Baptist Health Dr
Little Rock, AR 72205
Phone (501) 202-3995
9601 Baptist Health Dr
Fl Second
Little Rock, AR 72205
Phone (501) 202-6466
4 Hospital Dr
Morrilton, AR 72110
Phone (501) 977-2300
2215 Wildwood Ave
Sherwood, AR 72120
Phone (501) 522-7100
Organizations & group practices 4
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 Little Rock Emergency Doctors Group
- Emergency Medicine Physician
- Little Rock, AR
- NPI 1699868323
-
- Emergency Medicine Physician
- Sherwood, AR
- NPI 1205458189
-
- Emergency Medicine Physician
- Hot Springs, AR
- NPI 1790723021
-
- Psychiatric Hospital Unit
- Hot Springs, AR
- NPI 1619915949
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Baptist Health Medical Center-Little Rock
- General Acute Care Hospital
- Little Rock, AR
- NPI 1043240682
-
- General Acute Care Hospital
- Hot Springs, AR
- NPI 1316144546
-
- General Practice Physician
- Hot Springs, AR
- NPI 1497880124
Hospital
-
- Psychiatric Hospital Unit
- Hot Springs, AR
- NPI 1619915949
-
- General Acute Care Hospital
- Hot Springs, AR
- NPI 1689628232
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1458691200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1789344000000",
"number": "1225490899",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11001 EXECUTIVE CENTER DR STE 200",
"city": "LITTLE ROCK",
"state": "AR",
"postal_code": "722114393",
"telephone_number": "501-812-7215",
"fax_number": "501-812-7207"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9601 BAPTIST HEALTH DR",
"city": "LITTLE ROCK",
"state": "AR",
"postal_code": "722056321",
"telephone_number": "501-202-2300",
"fax_number": "501-202-1449"
}
],
"practiceLocations": [
{
"address_1": "1901 Encore Way",
"address_purpose": "LOCATION",
"city": "Benton",
"state": "AR",
"postal_code": "720198896",
"country_code": "US",
"telephone_number": "501-213-4500",
"fax_number": "501-526-5148",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4301 W Markham St # 584",
"address_purpose": "LOCATION",
"city": "Little Rock",
"state": "AR",
"postal_code": "722057101",
"country_code": "US",
"telephone_number": "501-686-8000",
"fax_number": "501-526-5148",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "300 Werner St",
"address_purpose": "LOCATION",
"city": "Hot Springs",
"state": "AR",
"postal_code": "719136406",
"country_code": "US",
"telephone_number": "501-622-1043",
"fax_number": "501-622-2033",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BOULDIN",
"first_name": "JOHN",
"middle_name": "B",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-03-23",
"last_updated": "2026-09-14",
"certification_date": "2026-09-14",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "AR",
"license": "E-11849",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Little Rock, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2026; 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.