Individual provider Active NPI

Brian Michael Rapp, MD

  • Vascular Surgery Physician
  • Fort Smith, AR
National Provider Identifier
1407014657
Registry record updated Aug 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
E-19486 Issued in AR
Practice address
7303 Rogers Ave Ste 302
Fort Smith, AR 72903-4105
Phone
(479) 452-1188
Fax
(479) 452-1196
NPI assigned
May 23, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 20, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 11013873A IN
Vascular Surgery Physician 2086S0129X 01067593A IN
Vascular Surgery Physician 2086S0129X 35.127926 OH
Vascular Surgery Physician 2086S0129X E-19486 AR Primary

Addresses

Primary practice location

7303 Rogers Ave Ste 302
Fort Smith, AR 72903-4105

Mailing address

PO Box 776084
Chicago, IL 60677-6084
Phone (479) 452-1188

Other practice location 1

5255 E Stop 11 Rd Ste 200
Indianapolis, IN 46237-6341
Phone (317) 528-1212

Other practice location 2

830 W High St Ste 207
Lima, OH 45801-3975
Phone (419) 226-9182

Other identifiers 1

IdentifierTypeStateIssuer
201106000MedicaidIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, MO, AR3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20220226000121 IL Practitioner - Vascular Surgery 3577704006
I20220406001054 MO Practitioner - Vascular Surgery 3577704006 Reassigns benefits to 2 organizations
I20250624002665 AR Practitioner - Vascular SurgeryPractitioner - General Surgery 3577704006 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Vascular SurgeryAlso: General Surgery
Education
Washington University School of Medicine, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mercy Clinic Fort Smith CommunitiesGroup PAC ID 3870668510, shared by 4 NPIs, 361 clinicians

Practice addresses (Care Compare)

7301 Rogers Ave
Fort Smith, AR 72903-4100
Phone (479) 314-5175

Hospital & facility affiliations

  • Mercy Hospital Fort Smith Hospital, Fort Smith, AR, CCN 040062
  • Mercy Health St Ritas Medical Center Hospital, Lima, OH, CCN 360066
  • Baptist Health - Fort Smith Hospital, Fort Smith, AR, CCN 040055
  • Mercy Hospital Waldron Hospital, Waldron, AR, CCN 041305
  • Mercy Hospital Paris Hospital, Paris, AR, CCN 041300

Procedures performed for Medicare patients

ProcedureNumber of procedures
Leg revascularization (restoring blood flow)1-10
Removal of tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
11013873AINMDSurgery Physician
E-19486ARMDVascular Surgery Physician
01067593AINMDVascular Surgery Physician
35.127926OHMDVascular Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Clinic Springfield Communities CurrentSince Sep 1, 2022 Accepting new patients
Mercy Clinic Fort Smith Communities CurrentSince Jun 17, 2025 Accepting new patients
Mercy Clinic Fort Smith Communities CurrentSince Jun 17, 2025 Accepting new patients
Mercy Clinic Fort Smith Communities CurrentSince Jun 17, 2025 Accepting new patients
Mercy Clinic Springfield Communities CurrentSince Apr 11, 2022 Accepting new patients
Mercy Clinic Springfield Communities CurrentSince Apr 11, 2022 Accepting new patients
Ambulatory Surgery Center of Centralia Past Accepting new patients
Major Hospital Past Accepting new patients
Ozarks Medical Center Past Accepting new patients

Locations

7303 Rogers Ave
Ste 302
Fort Smith, AR 72903
Phone (479) 452-1188

7001 Rogers Ave
Ste 200
Fort Smith, AR 72903
Phone (479) 314-4620

7301 Rogers Ave
Fort Smith, AR 72903
Phone (479) 314-4600

7001 Rogers Ave
Ste 401A
Fort Smith, AR 72903
Phone (479) 314-4650

448 State Highway 248
Ste 160
Branson, MO 65616
Phone (417) 213-4696

1605 Martin Springs Dr
Rolla, MO 65401
Phone (573) 458-6379

2115 S Fremont Ave
Ste 3050
Springfield, MO 65804
Phone (417) 820-3905

1235 E Cherokee St
Springfield, MO 65804
Phone (417) 820-2115

2115 S Fremont Ave
Ste 5000
Springfield, MO 65804
Phone (417) 820-3912

Interoperability endpoints

  • Direct secure messaging: brapp301231@ecommunitydirect.com
  • Direct secure messaging: brapp2772882@direct.bsmhealth.org

Organizations & group practices 9

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.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1211500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755648000000",
    "number": "1407014657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 776084",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606776084",
            "telephone_number": "479-452-1188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7303 ROGERS AVE STE 302",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729034105",
            "telephone_number": "479-452-1188",
            "fax_number": "479-452-1196"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5255 E Stop 11 Rd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Indianapolis",
            "state": "IN",
            "postal_code": "462376341",
            "country_code": "US",
            "telephone_number": "317-528-1212",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "830 W High St Ste 207",
            "address_purpose": "LOCATION",
            "city": "Lima",
            "state": "OH",
            "postal_code": "458013975",
            "country_code": "US",
            "telephone_number": "419-226-9182",
            "fax_number": "419-996-5090",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RAPP",
        "first_name": "BRIAN",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-05-23",
        "last_updated": "2025-08-20",
        "certification_date": "2025-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "IN",
            "license": "11013873A",
            "primary": false
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "IN",
            "license": "01067593A",
            "primary": false
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "OH",
            "license": "35.127926",
            "primary": false
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "AR",
            "license": "E-19486",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201106000",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Smith, AR

Sources for this page

Verify at the official NPI Registry.