Individual provider Active NPI

David B. Fort Jr., M.D.

  • Emergency Medicine Physician
  • Lowell, AR
National Provider Identifier
1457451676
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
C-8431 Issued in AR
Practice address
318 Wildwood St
Lowell, AR 72745-8939
Phone
(479) 770-0826
Fax
(479) 770-0008
NPI assigned
Sep 25, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X C-8431 AR Primary
Family Medicine Physician 207Q00000X C-8431 AR

Addresses

Primary practice location

318 Wildwood St
Lowell, AR 72745-8939

Mailing address

318 Wildwood St
Lowell, AR 72745-8939
Phone (479) 770-0826

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)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
C-8431ARMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mabelvale Community Emergency Physicians Emergency Medicine Past Accepting new patients
Washington Regional Medical System Past Accepting new patients
Johnson Emergency Group LLC Emergency Medicine Past Accepting new patients
QHG of Springdale Inc Past Accepting new patients

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1159142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1457451676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "318 WILDWOOD ST",
            "city": "LOWELL",
            "state": "AR",
            "postal_code": "727458939",
            "telephone_number": "479-770-0826",
            "fax_number": "479-770-0008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "318 WILDWOOD ST",
            "city": "LOWELL",
            "state": "AR",
            "postal_code": "727458939",
            "telephone_number": "479-770-0826",
            "fax_number": "479-770-0008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORT",
        "first_name": "DAVID",
        "middle_name": "B.",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-25",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "AR",
            "license": "C-8431",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AR",
            "license": "C-8431",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lowell, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.