David A Buckley, MD

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

C5374 Issued in AR

Practice address

705 Phillips Place
Huntsville, AR 72740

Phone

(479) 738-1700

Fax

(479) 738-5510

NPI assigned

Jan 19, 2010

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)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1263859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1273708800000",
    "number": "1376874149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6220",
            "city": "SPRINGDALE",
            "state": "AR",
            "postal_code": "727666220",
            "telephone_number": "479-927-3100",
            "fax_number": "479-927-3131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "705 PHILLIPS PLACE",
            "city": "HUNTSVILLE",
            "state": "AR",
            "postal_code": "72740",
            "telephone_number": "479-738-1700",
            "fax_number": "479-738-5510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUCKLEY",
        "first_name": "DAVID",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-01-19",
        "last_updated": "2010-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "AR",
            "license": "C5374",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Boston Mountain Rural Health Center
• Boston Mountain Rural Health Center Inc
• Boston Mountain Rural Health Center, Inc
• Boston Mountain Rural Health Center, Inc
• Melissa K Brannan, M.S., LMFT
• Allen Freaux Burnett
• Cole Burton
• Julie Anne Calvery-Carman, ANP
• Caitlin Bailey Carter, DNP, APRN, FNP-C
• James Michael Casteel

• General Practice Physician in Huntsville, AR
• Providers in Huntsville, AR by specialty
• General Practice Physician in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2010; 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.