Brent D Adams

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

L040194 Issued in AR

Practice address

2213 N Reynolds Rd Ste 4
Bryant, AR 72022-2501

Phone

(702) 738-4707

NPI assigned

Feb 13, 2023

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1676246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678752000000",
    "number": "1245937002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2213 N REYNOLDS RD STE 4",
            "city": "BRYANT",
            "state": "AR",
            "postal_code": "720222501",
            "telephone_number": "702-738-4707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2213 N REYNOLDS RD STE 4",
            "city": "BRYANT",
            "state": "AR",
            "postal_code": "720222501",
            "telephone_number": "702-738-4707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADAMS",
        "first_name": "BRENT",
        "middle_name": "D",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-02-13",
        "last_updated": "2023-03-14",
        "certification_date": "2023-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Licensed Practical Nurse",
            "state": "AR",
            "license": "L040194",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• A Matthew Nguyen DDS Corp.
• Heather Diane Abernathy
• Ashlynn Camille Abshire
• Cynthia Hobson Adams, M.S. CCC-SLP
• Krista Janai Adams, DPT, PT
• Lauren Ashley Adams
• Adl Medical LLC
• Ahmed Abasset Ali MD PA Inc

• Licensed Practical Nurse in Bryant, AR
• Providers in Bryant, AR by specialty
• Licensed Practical Nurse in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 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.

Verify at the official NPI Registry.