Clay B Brashears, M.D.
Individual provider Active NPI Internal Medicine Physician · Benton, AR
NPI 1265430201 · NPPES record last updated May 19, 2021
Key facts
- NPI
- 1265430201
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- E-1155 (AR)
- Practice address
- 722 N Main St
Benton, AR 72015-3337 - Phone
- (501) 315-0059
- Fax
- (501) 315-1320
- NPI assigned
- Jul 13, 2005
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 3
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Internal Medicine
- Education
- University of Arkansas College of Medicine, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Main Street Medical Clinic, P.a.
Practice addresses (Care Compare)
722 N Main St
Benton, AR 72015-3337
Phone (501) 315-0059
Hospital & facility affiliations
- Baptist Health Home Health-LR
- Saline Memorial Home Health
- Saline Memorial Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AR
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20041208000454 | AR | Practitioner - Internal Medicine |
4587620844 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E-1155 | AR | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Main Street Medical Clinic, P.a. | Internal Medicine | Current |
Accepting new patients |
| Saline Med-Peds Group, Inc | Internal Medicine | Past |
Accepting new patients |
| Saline Hospital LLC | Past |
Accepting new patients |
Locations
722 N Main St
Benton, AR 72015
Phone (501) 315-0059
Interoperability endpoints
- clay-brashears@mainstmed.e-mdsdirect.com
- claybrashears-mmmsmc@direct.medalliesmail.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | E-1155 | AR | |
| Internal Medicine Physician | 207R00000X | E-1155 | AR | Yes |
Addresses
Primary practice location
722 N Main St
Benton, AR 72015-3337
Mailing address
722 N Main St
Benton, AR 72015-3337
Phone (501) 315-0059
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7995117 | Other | AR | AETNA |
| 18428000000 | Other | AR | QUALCHOICE |
| 1941357 | Other | AR | UNITED HEALTHCARE |
| P00063917 | Other | AR | RAILROAD MEDICARE |
| 137423001 | Medicaid | AR | |
| 26654584 | Other | AR | CIGNA |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | clay-brashears@mainstmed.e-mdsdirect.com |
Other providers in Benton, AR
- Ralynn Brann
- Paul Brannen
- Misty Bransford
- Lauren Brantley
- Claire Branton
- Payton Lynn Brazeal
- Joshua Brazzell
- Tiffany Brennan
- Socorro Brestel
- Billie Brewer
All providers in Benton, AR · Internal Medicine Physician in Arkansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 19, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.