Lisa a Bearden MD PA

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

License

E-6081 Issued in AR

Legal business name

LISA A BEARDEN MD PA

Practice address

1609 W 40TH Ave
Suite 204
Pine Bluff, AR 71603-6319

Phone

(870) 534-3608

NPI assigned

Jul 30, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Lisa A Bearden, MD

Title

MD/Owner

Phone

(870) 534-3608

Specialties & licenses 1

Addresses

Other names 1

• Lisa A Duckworth MD PA Former legal business name

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

{
    "created_epoch": "1248912000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1285804800000",
    "number": "1285865865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1609 W 40TH AVE",
            "address_2": "SUITE 204",
            "city": "PINE BLUFF",
            "state": "AR",
            "postal_code": "716036319",
            "telephone_number": "870-534-3608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1609 W 40TH AVE",
            "address_2": "SUITE 204",
            "city": "PINE BLUFF",
            "state": "AR",
            "postal_code": "716036319",
            "telephone_number": "870-534-3608"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LISA A BEARDEN MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-30",
        "last_updated": "2010-09-30",
        "status": "A",
        "authorized_official_last_name": "BEARDEN",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "MD/OWNER",
        "authorized_official_telephone_number": "870-534-3608",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "AR",
            "license": "E-6081",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lisa A Duckworth MD PA",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Rodolfo E Lim, M.D.
• William N Lim, M.D.
• James A Lindsey, MD
• Vineta D Lindsey, APRN
• Joel Richard Link, M.D.
• Little Rock Vamc
• Crystal Little, MD
• Living Hope Medical Services
• Loetscher Anesthesia, Inc
• Jonathan M Loetscher, CRNA

• Medical Specialty Clinic/Center in Pine Bluff, AR
• Providers in Pine Bluff, AR by specialty
• Medical Specialty Clinic/Center in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2010; 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.