Active NPI
Ronald K Brimberry, MD
- Family Medicine Physician
- Springdale, AR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- C-6028
- Practice address
- 601 W Maple Ave
Suite 102
Springdale, AR 72764-5379 - Phone
- (479) 750-6585
- Fax
- (479) 750-6594
- NPI assigned
- Jan 20, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | C-6028 | AR | Primary |
Addresses
Primary practice location
601 W Maple Ave
Suite 102
Springdale, AR 72764-5379
Mailing address
601 W Maple Ave
Suite 102
Springdale, AR 72764-5379
Phone (479) 750-6585
Other identifiers 8
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 105374001 | Medicaid | AR | |
| 390702 | Other | AR | HEALTHLINK |
| 971868 | Other | AR | FIRST HEALTH |
| 080153473 | Other | AR | RAILROAD MEDICARE |
| 1353054 | Other | AR | UNITED HEALTH CARE |
| 11671000000 | Other | AR | QUAL CHOICE |
| 50638 | Other | AR | BCBS |
| 5498573 | Other | AR | AETNA |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- University of Arkansas College of Medicine, 1981
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- University of Arkansas for Medical Sciences
Practice addresses (Care Compare)
1125 N College Ave
Fayetteville, AR 72703-1908
Phone (479) 521-8260
601 W Maple Ave
Springdale, AR 72764-5370
Phone (479) 750-6585
Hospital & facility affiliations
- Circle of Life Hospice
- University of Arkansas Medical Sciences
- Washington Regional Medical Center
- Northwest Medical Center-Springdale
- Arkansas Veterans Home at Fayetteville
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
| Removal of nail tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C-6028 | AR | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Washington Regional Medical System | Family Medicine | Current | Accepting new patients |
| Washington Regional Medical System | Current | Accepting new patients | |
| University of Arkansas for Medical Sciences | Family Medicine | Current | Accepting new patients |
| South Arkansas Emergency Physicians, LLP | Current | Accepting new patients | |
| University of Arkansas for Medical Sciences | Current | Accepting new patients | |
| University of Arkansas for Medical Sciences | Family Medicine | Current | Accepting new patients |
| South Arkansas Emergency Physicians LLP | Current | Accepting new patients | |
| South Arkansas Emergency Physicians, LLP | Current | Accepting new patients | |
| Washington Regional Medical System | Family Medicine | Current | Accepting new patients |
| Washington Regional Medical System | Family Medicine | Current | Accepting new patients |
| QHG of Springdale Inc | Past | Accepting new patients | |
| University of Arkansas for Medical Sciences | Family Medicine | Past | Accepting new patients |
Locations
1125 N College Ave
Fayetteville, AR 72703
Phone (479) 521-8260
3215 N Northhills Blvd
Fayetteville, AR 72703
Phone (479) 463-1000
609 W Maple Ave
Springdale, AR 72764
Phone (479) 751-5711
601 W Maple Ave
Ste 102
Springdale, AR 72764
Phone (479) 750-6585
Interoperability endpoints
- rbrimberry50184@washingtonregional.direct-ci.com
Organizations & group practices 12
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.
-
- Emergency Medicine Physician
- El Dorado, AR
- NPI 1942435458
-
- Orthopaedic Surgery Physician
- Fayetteville, AR
- NPI 1477953248
-
- Family Medicine Physician
- Springdale, AR
- NPI 1487624490
-
- Hospitalist Physician
- Fayetteville, AR
- NPI 1306801485
-
- Family Medicine Physician
- Springdale, AR
- NPI 1326376419
-
- Emergency Medicine Physician
- Springdale, AR
- NPI 1205257250
-
- Emergency Medicine Physician
- Siloam Springs, AR
- NPI 1225452055
-
- Family Medicine Physician
- El Dorado, AR
- NPI 1023795051
-
- Family Medicine Physician
- Farmington, AR
- NPI 1275839011
-
- Family Medicine Physician
- Harrison, AR
- NPI 1699023895
-
- Neonatal-Perinatal Medicine Physician
- Springdale, AR
- NPI 1730292434
-
- Internal Medicine Physician
- Little Rock, AR
- NPI 1588654016
Family Medicine
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Community Based Hospice Care Agency
- Springdale, AR
- NPI 1386755460
-
- General Acute Care Hospital
- Springdale, AR
- NPI 1699726695
-
- General Acute Care Hospital
- Little Rock, AR
- NPI 1477549756
-
- General Acute Care Hospital
- Fayetteville, AR
- NPI 1083609150
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137715200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1319587200000",
"number": "1336129758",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "601 W MAPLE AVE",
"address_2": "SUITE 102",
"city": "SPRINGDALE",
"state": "AR",
"postal_code": "727645379",
"telephone_number": "479-750-6585",
"fax_number": "479-750-6594"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "601 W MAPLE AVE",
"address_2": "SUITE 102",
"city": "SPRINGDALE",
"state": "AR",
"postal_code": "727645379",
"telephone_number": "479-750-6585",
"fax_number": "479-750-6594"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRIMBERRY",
"first_name": "RONALD",
"middle_name": "K",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-20",
"last_updated": "2011-10-26",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "AR",
"license": "C-6028",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "105374001",
"state": "AR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHLINK",
"identifier": "390702",
"state": "AR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIRST HEALTH",
"identifier": "971868",
"state": "AR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "080153473",
"state": "AR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTH CARE",
"identifier": "1353054",
"state": "AR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "QUAL CHOICE",
"identifier": "11671000000",
"state": "AR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "50638",
"state": "AR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "5498573",
"state": "AR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Springdale, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.