Organization Active NPI

W. Bruce Brown MD, PA.

Doing business as Arkansas Orthopaedic Center

  • Orthopaedic Surgery Physician
  • Russellville, AR
National Provider Identifier
1255345195
Registry record updated Jul 21, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
C6797 Issued in AR
Legal business name
W. BRUCE BROWN MD, PA.
Doing business as
Arkansas Orthopaedic Center
Practice address
3016 W Main St
Russellville, AR 72801-2453
Phone
(479) 890-2663
Fax
(479) 880-2663
NPI assigned
Jul 28, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2010

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

Authorized official

Name
Dr. William Bruce Brown, MD
Title
President
Phone
(479) 890-2663

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207X00000X C6797 AR Primary

Addresses

Primary practice location

3016 W Main St
Russellville, AR 72801-2453

Mailing address

3016 W Main St
Russellville, AR 72801-2453
Phone (479) 890-2663

Other identifiers 1

IdentifierTypeStateIssuer
131215002MedicaidAR

Other names 1

  • Arkansas Orthopaedic Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20100930002981 AR DME Supplier - Physician - Orthopedic/Orthopedic Surgery 9739200346 Practice locations: Russellville, AR
O20120720000214 AR Part B Supplier - Clinic/Group Practice 9739200346 Receives reassigned benefits from 1 practitioner
Practice locations: Russellville, AR

National Provider Directory

National Provider Directory

Locations

3016 W Main St
Russellville, AR 72801
Phone (479) 890-2663

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1154044800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1279670400000",
    "number": "1255345195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3016 W MAIN ST",
            "city": "RUSSELLVILLE",
            "state": "AR",
            "postal_code": "728012453",
            "telephone_number": "479-890-2663",
            "fax_number": "479-880-2663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3016 W MAIN ST",
            "city": "RUSSELLVILLE",
            "state": "AR",
            "postal_code": "728012453",
            "telephone_number": "479-890-2663",
            "fax_number": "479-880-2663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "W. BRUCE BROWN MD, PA.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-28",
        "last_updated": "2010-07-21",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "BRUCE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "479-890-2663",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "AR",
            "license": "C6797",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "131215002",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Arkansas Orthopaedic Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Russellville, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.