Active NPI
Bobbie Dean Fine Jr., M.D.
- Nephrology Physician
- Hot Springs, AR
National Provider Identifier
1336129253
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- License
- N8081
- Practice address
- 115 Wrights St
Hot Springs, AR 71913-6240 - Phone
- (501) 321-9803
- Fax
- (501) 321-0710
- NPI assigned
- Jan 18, 2006
- Sex
- Male
- Sole proprietor
- No
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| N8081 | AR | MD | Nephrology Physician |
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | N8081 | AR | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
115 Wrights St
Hot Springs, AR 71913-6240
Mailing address
115 Wrights St
Hot Springs, AR 71913-6240
Phone (501) 321-9803
Other identifiers 2
NPPES NPI Registry| Identifier | Type | State | Issuer |
|---|---|---|---|
| 390001929 | Other | AR | RRMEDICARE |
| 118876001 | Medicaid | AR |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 12, 2012.
{
"created_epoch": "1137542400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1342051200000",
"number": "1336129253",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "115 WRIGHTS ST",
"city": "HOT SPRINGS",
"state": "AR",
"postal_code": "719136240",
"telephone_number": "501-321-9803",
"fax_number": "501-321-0710"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "115 WRIGHTS ST",
"city": "HOT SPRINGS",
"state": "AR",
"postal_code": "719136240",
"telephone_number": "501-321-9803",
"fax_number": "501-321-0710"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FINE",
"first_name": "BOBBIE",
"middle_name": "DEAN",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-18",
"last_updated": "2012-07-12",
"status": "A"
},
"taxonomies": [
{
"code": "207RN0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Nephrology",
"state": "AR",
"license": "N8081",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RRMEDICARE",
"identifier": "390001929",
"state": "AR"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "118876001",
"state": "AR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hot Springs, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.