Organization Active NPI

Harold B. Betton, M.D. P.a.

  • Family Medicine Physician
  • Little Rock, AR
National Provider Identifier
1386673499
Registry record updated Nov 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MC-0637 Issued in AR
Legal business name
HAROLD B. BETTON, M.D. P.A.
Practice address
1505 W 11TH St
Little Rock, AR 72202-4619
Phone
(501) 376-1160
Fax
(501) 376-3977
NPI assigned
Jul 1, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2011

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

Authorized official

Name
Dr. Harold Byrd Betton, MDNPI 1275528267
Title
President
Phone
(501) 376-1160

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X MC-0637 AR Primary

Addresses

Primary practice location

1505 W 11TH St
Little Rock, AR 72202-4619

Mailing address

1505 W 11TH St
Little Rock, AR 72202-4619
Phone (501) 376-1160

Other identifiers 1

IdentifierTypeStateIssuer
104803002MedicaidAR

Other names 1

  • Betton clinic Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20111017000038 AR Practitioner - Family Practice 5597761478 Reassigns benefits to 1 organization
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
O20061020000158 AR Part B Supplier - Clinic/Group Practice 5698771368 Receives reassigned benefits from 1 practitioner
Practice locations: Little Rock, AR

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
04D0932971Betton Clinic1505 West 11TH Street, Little Rock, AR 72202Provider-performed microscopySep 2, 2027

National Provider Directory

National Provider Directory

Locations

1505 W 11th St
Little Rock, AR 72202
Phone (501) 376-1160

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1151712000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1320624000000",
    "number": "1386673499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1505 W 11TH ST",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722024619",
            "telephone_number": "501-376-1160",
            "fax_number": "501-376-3977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1505 W 11TH ST",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722024619",
            "telephone_number": "501-376-1160",
            "fax_number": "501-376-3977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAROLD B. BETTON, M.D. P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-01",
        "last_updated": "2011-11-07",
        "status": "A",
        "authorized_official_last_name": "BETTON",
        "authorized_official_first_name": "HAROLD",
        "authorized_official_middle_name": "BYRD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "501-376-1160",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "AR",
            "license": "MC-0637",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "104803002",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Betton clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Little Rock, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.