Active NPI
David B. Fort Jr., M.D.
- Emergency Medicine Physician
- Lowell, AR
National Provider Identifier
1457451676
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- C-8431
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| C-8431 | AR | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New 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.
-
- Emergency Medicine Physician
- Springdale, AR
- NPI 1902110547
-
- Emergency Medicine Physician
- Fayetteville, AR
- NPI 1063604007
-
- Neonatal-Perinatal Medicine Physician
- Springdale, AR
- NPI 1730292434
-
- Multi-Specialty Clinic/Center
- Fayetteville, AR
- NPI 1699731208
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.