Individual provider Active NPI

Wesley Brent Sprinkle, D.O.

  • Physical Medicine & Rehabilitation Physician
  • Little Rock, AR
National Provider Identifier
1265410443
Registry record updated Nov 11, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
E-2728 Issued in AR
Practice address
600 S McKinley St
Little Rock, AR 72205-5202
Phone
(501) 663-3647
Fax
(501) 663-7931
NPI assigned
Jan 6, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X E-2728 AR Primary

Addresses

Primary practice location

600 S McKinley St
Little Rock, AR 72205-5202

Mailing address

600 S McKinley St
Little Rock, AR 72205-5202
Phone (501) 663-3647

Other identifiers 2

IdentifierTypeStateIssuer
149750003MedicaidAR
5M527C207OtherARPTAN

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110112000645 AR Practitioner - Physical Medicine and Rehabilitation 5698964237

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
E-2728ARMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Arkansas Specialty Therapy and Diagnostic Centers LLC Past Accepting new patients
Arkansas Specialty Care Centers PA Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: brentsprinkle@bsdp-al.direct.office.nextgen.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1136505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1289433600000",
    "number": "1265410443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 S MCKINLEY ST",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722055202",
            "telephone_number": "501-663-3647",
            "fax_number": "501-663-7931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 S MCKINLEY ST",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722055202",
            "telephone_number": "501-663-3647",
            "fax_number": "501-663-7931"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPRINKLE",
        "first_name": "WESLEY",
        "middle_name": "BRENT",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-06",
        "last_updated": "2010-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "AR",
            "license": "E-2728",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "149750003",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "5M527C207",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Little Rock, AR

Sources for this page

Verify at the official NPI Registry.