Frederick Braswell, ANP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

A03067 ANP Issued in AR

Practice address

6209 W 12TH St
Little Rock, AR 72204-1505

Phone

(501) 663-5221

Fax

(501) 663-6759

NPI assigned

Feb 18, 2008

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Arkansas Primary Care Clinics PA

  • Family Medicine Physician
  • Little Rock, AR
  • NPI 1750345427
  NPD (past)

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

{
    "created_epoch": "1203292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1376711937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5901 JFK",
            "address_2": "# 3605",
            "city": "NORTH LITTLE ROCK",
            "state": "AR",
            "postal_code": "721166766",
            "telephone_number": "501-663-5221",
            "fax_number": "501-663-6759"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6209 W 12TH ST",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722041505",
            "telephone_number": "501-663-5221",
            "fax_number": "501-663-6759"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRASWELL",
        "first_name": "FREDERICK",
        "credential": "ANP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-02-18",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AR",
            "license": "A03067 ANP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Claire Brantley, OTD
• Allison Brass, MHPP
• Ethan Brass, QBHP
• Tristan Brass, LAC
• Camille Swihart Braswell, M.D.
• Patricia Dopler Braswell, APN
• Ronald Alvin Braswell, MD
• Andrea Webber Bratton, CRNA
• Rachel Karen Braun, PT
• Steven Douglas Bravard, O.D.

• Family Nurse Practitioner in Little Rock, AR
• Providers in Little Rock, AR by specialty
• Family Nurse Practitioner in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.