Individual provider Active NPI

Brentley Jason Silvey, MD

  • Pediatrics Physician
  • Fayetteville, AR
National Provider Identifier
1316998743
Registry record updated Aug 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
E-4810 Issued in AR
Practice address
3380 N Futrall Dr Ste 1
Fayetteville, AR 72703
Phone
(479) 442-7322
Fax
(479) 442-7379
NPI assigned
May 12, 2006
Last updated
Aug 22, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X E-4810 AR Primary

Addresses

Primary practice location

3380 N Futrall Dr Ste 1
Fayetteville, AR 72703

Mailing address

PO Box 1523
Fayetteville, AR 72702-1523
Phone (479) 571-6038

Other practice location 1

3383 N Mana Ct Ste 101
Fayetteville, AR 72703-4965
Phone (479) 443-3471

Other identifiers 2

IdentifierTypeStateIssuer
161468001MedicaidAR
5N574OtherARAR BCBS

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address brentley.silvey@mana.eclinicaldirectplus.com Direct

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
I20060707000184 AR Practitioner - Pediatric Medicine 8325050586 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
E-4810ARMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Associates of Northwest Arkansas PA CurrentSince Jul 1, 2013 Accepting new patients
Medical Associates of Northwest Arkansas, PA Current Accepting new patients
Medical Associates of Northwest Arkansas PA Past Accepting new patients
Medical Associates of Northwest Arkansas PA Pediatrics Past Accepting new patients

Locations

3344 N Futrall Dr
Fayetteville, AR 72703
Phone (479) 582-7213

3380 N Futrall Dr
Ste 1
Fayetteville, AR 72703
Phone (479) 442-7322

3383 N Mana Ct
Ste 101
Fayetteville, AR 72703
Phone (479) 442-7322

3730 S Pinnacle Hills Pkwy
#3
Rogers, AR 72758
Phone (479) 464-5597

3730 S Pinnacle Hills Pkwy
Ste 3
Rogers, AR 72758
Phone (479) 221-8902

Interoperability endpoints

  • Direct secure messaging: brentley.silvey@mana.eclinicaldirectplus.com

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1147392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724284800000",
    "number": "1316998743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1523",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727021523",
            "telephone_number": "479-571-6038",
            "fax_number": "479-582-0222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3380 N FUTRALL DR STE 1",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "72703",
            "telephone_number": "479-442-7322",
            "fax_number": "479-442-7379"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3383 N Mana Ct Ste 101",
            "address_purpose": "LOCATION",
            "city": "Fayetteville",
            "state": "AR",
            "postal_code": "727034965",
            "country_code": "US",
            "telephone_number": "479-443-3471",
            "fax_number": "479-442-7379",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SILVEY",
        "first_name": "BRENTLEY",
        "middle_name": "JASON",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-12",
        "last_updated": "2024-08-22",
        "certification_date": "2024-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "AR",
            "license": "E-4810",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "161468001",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AR BCBS",
            "identifier": "5N574",
            "state": "AR"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "brentley.silvey@mana.eclinicaldirectplus.com",
            "affiliation": "N",
            "endpointDescription": "brentley.silvey@mana.eclinicaldirectplus.com",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "3380 N Futrall Dr Ste 1",
            "city": "Fayetteville",
            "state": "AR",
            "country_code": "US",
            "postal_code": "72703",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Fayetteville, AR

Sources for this page

Verify at the official NPI Registry.