Active NPI
Brian Daniel Melloy, M.D.
- Family Medicine Physician
- Rogers, AR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- E-11091
- Practice address
- 200 S 20TH St Ste C
Rogers, AR 72758-1100 - Phone
- (479) 278-7010
- Fax
- (479) 974-2009
- NPI assigned
- Dec 29, 2015
- 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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | AR | ||
| Family Medicine Physician | 207Q00000X | E-11091 | AR | Primary |
Addresses
Primary practice location
200 S 20TH St Ste C
Rogers, AR 72758-1100
Mailing address
PO Box 3013
Bella Vista, AR 72715-0013
Phone (479) 278-7010
Other practice location 1
2400 S 48th St
Springdale, AR 72762-6683
Phone (479) 750-2020
Other practice location 2
601 SW Regional Airport Blvd
Bentonville, AR 72713-9256
Phone (479) 553-2664
Other practice location 3
1125 N College Ave
Fayetteville, AR 72703-1908
Phone (479) 713-8000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
200 S 20TH St
Suite C
Rogers, AR 72758-1100
Phone (479) 278-7010
4313 S Pleasant Crossing Blvd
Rogers, AR 72758-1347
Phone (479) 341-4003
Hospital & facility affiliations
- Mercy Hospital Northwest Arkansas
- Northwest Medical Center-Springdale
- Washington Regional Medical Center
- Mercy Rehabilitation Hospital Northwest Ar
Merit-based Incentive Payment System (MIPS)
- Final score
- 0 of 100
- Quality
- 0
- Improvement activities
- 0
- Cost
- 0
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Melloy Concierge and Aesthetics Medical Group | Family Medicine | Current | Accepting new patients |
| Northwest Benton County Physician Services LLC | Family Medicine | Current | Accepting new patients |
Locations
601 SW Regional Airport Blvd
Bentonville, AR 72713
Phone (479) 268-4447
101 Sun Meadow Dr
Centerton, AR 72719
Phone (479) 273-1426
700 W Grove St
El Dorado, AR 71730
Phone (870) 863-2200
200 S 20th St
Ste C
Rogers, AR 72758
Phone (479) 278-7010
609 W Maple Ave
Springdale, AR 72764
Phone (479) 751-5711
Interoperability endpoints
- melloyconciergeandaestheticsmedicalgroup.brianmelloy@150815.advancedmd-direct.com
Organizations & group practices 2
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.
-
- Family Medicine Physician
- Rogers, AR
- NPI 1184311342
-
- Family Medicine Physician
- Bentonville, AR
- NPI 1871553073
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Rehabilitation Hospital
- Rogers, AR
- NPI 1417655762
Inpatient rehabilitation facility
-
- General Acute Care Hospital
- Rogers, AR
- NPI 1316902414
-
- General Acute Care Hospital
- Springdale, AR
- NPI 1699726695
-
- General Acute Care Hospital
- Fayetteville, AR
- NPI 1083609150
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1451347200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1781049600000",
"number": "1457716813",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3013",
"city": "BELLA VISTA",
"state": "AR",
"postal_code": "727150013",
"telephone_number": "479-278-7010",
"fax_number": "479-974-2009"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 S 20TH ST STE C",
"city": "ROGERS",
"state": "AR",
"postal_code": "727581100",
"telephone_number": "479-278-7010",
"fax_number": "479-974-2009"
}
],
"practiceLocations": [
{
"address_1": "2400 S 48th St",
"address_purpose": "LOCATION",
"city": "Springdale",
"state": "AR",
"postal_code": "727626683",
"country_code": "US",
"telephone_number": "479-750-2020",
"fax_number": "479-750-4843",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "601 SW Regional Airport Blvd",
"address_purpose": "LOCATION",
"city": "Bentonville",
"state": "AR",
"postal_code": "727139256",
"country_code": "US",
"telephone_number": "479-553-2664",
"fax_number": "479-553-2536",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1125 N College Ave",
"address_purpose": "LOCATION",
"city": "Fayetteville",
"state": "AR",
"postal_code": "727031908",
"country_code": "US",
"telephone_number": "479-713-8000",
"fax_number": "479-444-7820",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MELLOY",
"first_name": "BRIAN",
"middle_name": "DANIEL",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-12-29",
"last_updated": "2026-06-10",
"certification_date": "2026-06-10",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "AR",
"license": null,
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "AR",
"license": "E-11091",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rogers, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.