Active NPI
Bryan Moreno
- Electroneurodiagnostic Specialist/Technologist
- Springdale, AR
National Provider Identifier
1447169826
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Electroneurodiagnostic Specialist/Technologist
- Practice address
- 3497 Wagon Wheel Rd
Springdale, AR 72762-0115 - Phone
- (479) 717-2467
- Fax
- (479) 445-6091
- NPI assigned
- Sep 2, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Electroneurodiagnostic Specialist/Technologist | 246ZE0600X | Primary |
Addresses
Primary practice location
3497 Wagon Wheel Rd
Springdale, AR 72762-0115
Mailing address
3497 Wagon Wheel Rd
Springdale, AR 72762-0115
Phone (479) 717-2467
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1788307200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788307200000",
"number": "1447169826",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3497 WAGON WHEEL RD",
"city": "SPRINGDALE",
"state": "AR",
"postal_code": "727620115",
"telephone_number": "479-717-2467",
"fax_number": "479-445-6091"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3497 WAGON WHEEL RD",
"city": "SPRINGDALE",
"state": "AR",
"postal_code": "727620115",
"telephone_number": "479-717-2467",
"fax_number": "479-445-6091"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MORENO",
"first_name": "BRYAN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2026-09-02",
"last_updated": "2026-09-02",
"certification_date": "2026-09-02",
"status": "A"
},
"taxonomies": [
{
"code": "246ZE0600X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Other, Electroneurodiagnostic",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Springdale, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.