Active NPI
Brent Bryant
- Case Manager/Care Coordinator
- Barling, AR
National Provider Identifier
1447500673
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- Practice address
- 815 Fort St Ste a
Barling, AR 72923-2180 - Phone
- (479) 494-5700
- Fax
- (479) 484-8142
- NPI assigned
- Sep 14, 2012
- 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 |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | Primary |
Addresses
Primary practice location
815 Fort St Ste a
Barling, AR 72923-2180
Mailing address
3352 N Futrall Dr
Fayetteville, AR 72703-4057
Phone (479) 521-1427
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1347580800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1347580800000",
"number": "1447500673",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3352 N FUTRALL DR",
"city": "FAYETTEVILLE",
"state": "AR",
"postal_code": "727034057",
"telephone_number": "479-521-1427",
"fax_number": "479-521-6520"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "815 FORT ST STE A",
"city": "BARLING",
"state": "AR",
"postal_code": "729232180",
"telephone_number": "479-494-5700",
"fax_number": "479-484-8142"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRYANT",
"first_name": "BRENT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-09-14",
"last_updated": "2012-09-14",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Barling, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.