Active NPI
John Richard Brineman, MD
- Anatomic Pathology & Clinical Pathology Physician
- Little Rock, AR
National Provider Identifier
1255307625
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician
- License
- N7564
- Practice address
- 1 Saint Vincent Cir
Suite 160
Little Rock, AR 72205-5405 - Phone
- (864) 223-3600
- Fax
- (864) 223-6054
- NPI assigned
- Feb 27, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | N7564 | AR | Primary |
Addresses
Primary practice location
1 Saint Vincent Cir
Suite 160
Little Rock, AR 72205-5405
Mailing address
PO Box 100559
Florence, SC 29501-0559
Phone (843) 664-4300
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| N7564 | AR | MD | Anatomic Pathology & Clinical Pathology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Arkansas Pathology Associates PA | Anatomic Pathology & Clinical Pathology | Past | Accepting new patients |
| St. Vincent Medical Group | Past | Accepting new patients |
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.
-
- Anatomic Pathology & Clinical Pathology Physician
- Little Rock, AR
- NPI 1033171467
-
- Family Medicine Physician
- Little Rock, AR
- NPI 1134176480
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140998400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1199232000000",
"number": "1255307625",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 100559",
"city": "FLORENCE",
"state": "SC",
"postal_code": "295010559",
"telephone_number": "843-664-4300",
"fax_number": "843-664-4308"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 SAINT VINCENT CIR",
"address_2": "SUITE 160",
"city": "LITTLE ROCK",
"state": "AR",
"postal_code": "722055405",
"telephone_number": "864-223-3600",
"fax_number": "864-223-6054"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRINEMAN",
"first_name": "JOHN",
"middle_name": "RICHARD",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-27",
"last_updated": "2008-01-02",
"status": "A"
},
"taxonomies": [
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "AR",
"license": "N7564",
"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 Jan 2, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.