Individual provider Active NPI

Brian Daniel Melloy, M.D.

  • Family Medicine Physician
  • Rogers, AR
National Provider Identifier
1457716813
Registry record updated Jun 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
E-11091 Issued in AR
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

Updated by the provider on Jun 10, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180322002116 AR Practitioner - Family Practice 2769786607 Reassigns benefits to 2 organizations

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
Melloy Concierge and Aesthetics Medical GroupGroup PAC ID 5698135903, 2 clinicians

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 Hospital, Rogers, AR, CCN 040010
  • Northwest Medical Center-Springdale Hospital, Springdale, AR, CCN 040022
  • Washington Regional Medical Center Hospital, Fayetteville, AR, CCN 040004
  • Mercy Rehabilitation Hospital Northwest Ar Inpatient rehabilitation facility, Rogers, AR, CCN 043036

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Melloy Concierge and Aesthetics Medical Group Family Medicine CurrentSince Apr 3, 2023 Accepting new patients
Northwest Benton County Physician Services LLC Family Medicine CurrentSince Jun 16, 2018 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.