Arkansas Valley Urology Clinic

Primary specialty

Urology PhysicianTaxonomy code 208800000X

License

C4182 Issued in AR

Legal business name

ARKANSAS VALLEY UROLOGY CLINIC

Practice address

2501 West Main Street
Russeville, AR 72801

Phone

(479) 968-8765

Fax

(479) 967-6501

NPI assigned

Oct 26, 2006

Organization subpart

No

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

Authorized official

Name

Charles Hugh BrownNPI 1437246147

Title

Owner/Urologist

Phone

(479) 968-8765

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Charles H Brown, MD

  • Urology Physician
  • Russellville, AR
  • NPI 1437246147
  NPD (past) Authorized official

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

{
    "created_epoch": "1161820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1275618134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2501 WEST MAIN STREET",
            "city": "RUSSEVILLE",
            "state": "AR",
            "postal_code": "72801",
            "telephone_number": "479-968-8765",
            "fax_number": "479-967-6501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2501 WEST MAIN STREET",
            "city": "RUSSEVILLE",
            "state": "AR",
            "postal_code": "72801",
            "telephone_number": "479-968-8765",
            "fax_number": "479-967-6501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARKANSAS VALLEY UROLOGY CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "HUGH",
        "authorized_official_title_or_position": "OWNER/UROLOGIST",
        "authorized_official_telephone_number": "479-968-8765"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": "AR",
            "license": "C4182",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.