Individual provider Active NPI

Brandon Thornton, APRN-CNP

  • Family Nurse Practitioner
  • Corning, AR
National Provider Identifier
1265004550
Registry record updated Dec 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
216906 Issued in AR
Practice address
1300 Creason Rd
Corning, AR 72422-1716
Phone
(870) 857-3399
Fax
(870) 857-3301
NPI assigned
Jul 15, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 216906 AR Primary

Addresses

Primary practice location

1300 Creason Rd
Corning, AR 72422-1716

Mailing address

PO Box 83
Corning, AR 72422-0083
Phone (870) 857-3334

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210728001472 AR Practitioner - Nurse Practitioner 9436552486 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Arkansas College of Medicine, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
1St Choice Healthcare IncGroup PAC ID 0648184218, 36 clinicians

Practice addresses (Care Compare)

1300 Creason Rd
Corning, AR 72422-1716
Phone (870) 857-3399

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
216906ARMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
1St Choice Healthcare Inc CurrentSince Dec 5, 2023 Accepting new patients
1St Choice Healthcare Inc CurrentSince Dec 5, 2023 Accepting new patients
1St Choice Healthcare Inc Current Accepting new patients

Locations

1300 Creason Rd
Corning, AR 72422
Phone (870) 857-3399

2178 Highway 62 412
Highland, AR 72542
Phone (870) 994-2202

1 Medical Dr
Ste 100
Paragould, AR 72450
Phone (870) 236-2000

1016 McQuay Ave
Pocahontas, AR 72455
Phone (870) 892-9949

172 Highway 62 W
Salem, AR 72576
Phone (870) 895-2735

201 Colonial Dr
Walnut Ridge, AR 72476
Phone (870) 886-5507

Interoperability endpoints

  • Direct secure messaging: brandon.thornton@1st.eclinicaldirectplus.com

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1626307200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701820800000",
    "number": "1265004550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 83",
            "city": "CORNING",
            "state": "AR",
            "postal_code": "724220083",
            "telephone_number": "870-857-3334",
            "fax_number": "870-857-9934"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 CREASON RD",
            "city": "CORNING",
            "state": "AR",
            "postal_code": "724221716",
            "telephone_number": "870-857-3399",
            "fax_number": "870-857-3301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THORNTON",
        "first_name": "BRANDON",
        "credential": "APRN-CNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-07-15",
        "last_updated": "2023-12-06",
        "certification_date": "2023-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AR",
            "license": "216906",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Corning, AR

Sources for this page

Verify at the official NPI Registry.