Organization Active NPI

P. B. Simpson, Jr., MD, LTD

  • Neurological Surgery Physician
  • Pine Bluff, AR
National Provider Identifier
1437397387
Registry record updated Feb 23, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
R2287 Issued in AR
Legal business name
P. B. SIMPSON, JR., MD, LTD
Practice address
1220 W 42ND Ave
Pine Bluff, AR 71603-7109
Phone
(870) 536-8547
Fax
(870) 536-6452
NPI assigned
Jan 30, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2009

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

Authorized official

Name
Dr. P. B. Simpson Jr., M.D.
Title
Owner/Physician
Phone
(870) 536-8547

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207T00000X R2287 AR Primary

Addresses

Primary practice location

1220 W 42ND Ave
Pine Bluff, AR 71603-7109

Mailing address

1220 W 42ND Ave
Pine Bluff, AR 71603-7109
Phone (870) 536-8547

Other identifiers 1

IdentifierTypeStateIssuer
102951001MedicaidAR

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1233273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1235347200000",
    "number": "1437397387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1220 W 42ND AVE",
            "city": "PINE BLUFF",
            "state": "AR",
            "postal_code": "716037109",
            "telephone_number": "870-536-8547",
            "fax_number": "870-536-6452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1220 W 42ND AVE",
            "city": "PINE BLUFF",
            "state": "AR",
            "postal_code": "716037109",
            "telephone_number": "870-536-8547",
            "fax_number": "870-536-6452"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "P. B. SIMPSON, JR., MD, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-30",
        "last_updated": "2009-02-23",
        "status": "A",
        "authorized_official_last_name": "SIMPSON",
        "authorized_official_first_name": "P.",
        "authorized_official_middle_name": "B.",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "870-536-8547",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Neurological Surgery",
            "state": "AR",
            "license": "R2287",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102951001",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pine Bluff, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2009; 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.