Lance Michael Brumley, NP
Individual provider Active NPI Family Nurse Practitioner · El Dorado, AR
NPI 1396460101 · NPPES record last updated Mar 7, 2024
Key facts
- NPI
- 1396460101
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 221886 (AR)
- Practice address
- 425 W Oak St
El Dorado, AR 71730-4566 - Phone
- (870) 863-5153
- NPI assigned
- Oct 5, 2022
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AR
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230523002456 | AR | Practitioner - Nurse Practitioner | 3476919085 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| William L. Harper, M.D., P.a. | Primary Care | Current |
Accepting new patients |
| Gold Cross Urgent Care, LLC | Current |
Accepting new patients | |
| Gold Cross Urgent Care, LLC | Current |
Accepting new patients |
Locations
425 W Oak St
El Dorado, AR 71730
Phone (870) 862-2331
100 E Church St
El Dorado, AR 71730
Phone (870) 510-1281
500 N Main St
Junction City, AR 71749
Phone (870) 862-2331
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 221886 | AR | Yes |
Addresses
Primary practice location
425 W Oak St
El Dorado, AR 71730-4566
Mailing address
164 Addie LN
El Dorado, AR 71730-5029
Phone (870) 866-6609
Other providers in El Dorado, AR
- Brookshire Grocery Company
- Brookshire Grocery Company
- Len Don Brotherton
- Reginald Curtis Brown
- Rickey Lee Brown
- Kris Bryan
- D'Orsay D Bryant III
- Renee J Bryant
- Christy Buhrman
- Kamea Burgie
All providers in El Dorado, AR · Family Nurse Practitioner in Arkansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 7, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.