Individual provider Active NPI

Lawrence Curtis Bandy, MD

  • Gynecologic Oncology Physician
  • Little Rock, AR
National Provider Identifier
1336100262
Registry record updated Jul 8, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecologic Oncology PhysicianTaxonomy code 207VX0201X
License
E3446 Issued in AR
Practice address
9601 Lile Dr
Ste 850
Little Rock, AR 72205-6321
Phone
(501) 221-3088
Fax
(501) 221-0072
NPI assigned
Mar 30, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gynecologic Oncology Physician 207VX0201X E3446 AR Primary

Addresses

Primary practice location

9601 Lile Dr
Ste 850
Little Rock, AR 72205-6321

Mailing address

9601 Lile Dr
Ste 850
Little Rock, AR 72205-6321
Phone (501) 221-3088

Other identifiers 4

IdentifierTypeStateIssuer
146951001MedicaidAR
P00069400OtherARRR MEDICARE
771050401OtherARBREAST CARE MEDICAID
5M299OtherARBCBS

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
I20031126000439 AR Practitioner - Gynecological Oncology 1658275037 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Gynecological Oncology
Education
Duke University School of Medicine, 1977
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

9601 Baptist Health Dr
Suite 850
Little Rock, AR 72205-6375
Phone (501) 221-3088

Hospital & facility affiliations

  • Baptist Health Medical Center-Little Rock Hospital, Little Rock, AR, CCN 040114

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus33

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
E3446ARMDGynecologic Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Arkansas GYN Oncology Gynecologic Oncology CurrentSince Sep 1, 2003 Accepting new patients

Locations

9601 Baptist Health Dr
Ste 850
Little Rock, AR 72205
Phone (501) 221-3088

Interoperability endpoints

  • Direct secure messaging: bandypc@e79cf824.micromddirect.com

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1143676800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1310083200000",
    "number": "1336100262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9601 LILE DR",
            "address_2": "STE 850",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722056321",
            "telephone_number": "501-221-3088",
            "fax_number": "501-221-0072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9601 LILE DR",
            "address_2": "STE 850",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722056321",
            "telephone_number": "501-221-3088",
            "fax_number": "501-221-0072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BANDY",
        "first_name": "LAWRENCE",
        "middle_name": "CURTIS",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-30",
        "last_updated": "2011-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VX0201X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecologic Oncology",
            "state": "AR",
            "license": "E3446",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "146951001",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00069400",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BREAST CARE MEDICAID",
            "identifier": "771050401",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "5M299",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Little Rock, AR

Sources for this page

Verify at the official NPI Registry.