Active NPI
Clay B Brashears, M.D.
- Internal Medicine Physician
- Benton, AR
National Provider Identifier
1265430201
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- E-1155
- Practice address
- 722 N Main St
Benton, AR 72015-3337 - Phone
- (501) 315-0059
- Fax
- (501) 315-1320
- NPI assigned
- Jul 13, 2005
- Last updated
- May 19, 2021
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | E-1155 | AR | |
| Internal Medicine Physician | 207R00000X | E-1155 | AR | Primary |
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
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | clay-brashears@mainstmed.e-mdsdirect.com |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- University of Arkansas College of Medicine, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
722 N Main St
Benton, AR 72015-3337
Phone (501) 315-0059
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Main Street Medical Clinic, P.a. | Internal Medicine | Current | Accepting new patients |
| Saline Hospital LLC | Past | Accepting new patients | |
| Saline Med-Peds Group, Inc | Internal Medicine | 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
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Internal Medicine Physician
- Benton, AR
- NPI 1841298791
-
dba Home Health and Hospice Services of Saline Memorial Hospital
- Community Based Hospice Care Agency
- Bryant, AR
- NPI 1104900018
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Bryant, AR
- NPI 1164071395
-
dba Saline Memorial Hospital
- General Acute Care Hospital
- Benton, AR
- NPI 1235111071
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121212800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1621382400000",
"number": "1265430201",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "722 N MAIN ST",
"city": "BENTON",
"state": "AR",
"postal_code": "720153337",
"telephone_number": "501-315-0059",
"fax_number": "501-315-1320"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "722 N MAIN ST",
"city": "BENTON",
"state": "AR",
"postal_code": "720153337",
"telephone_number": "501-315-0059",
"fax_number": "501-315-1320"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRASHEARS",
"first_name": "CLAY",
"middle_name": "B",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-13",
"last_updated": "2021-05-19",
"certification_date": "2021-05-19",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "AR",
"license": "E-1155",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "AR",
"license": "E-1155",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "clay-brashears@mainstmed.e-mdsdirect.com",
"affiliation": "N",
"address_1": "722 N Main St",
"city": "Benton",
"state": "AR",
"country_code": "US",
"postal_code": "720153337",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Benton, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.