NPIMap

Organization Active NPI

Bobby D. Perry,M.D.,PA

  • Specialist
  • Little Rock, AR
National Provider Identifier
1467611525
Registry record updated Jun 6, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
C7732 Issued in AR
Legal business name
BOBBY D. PERRY,M.D.,PA
Practice address
1 Saint Vincent Cir Ste 150
Little Rock, AR 72205-5406
Phone
(501) 552-8720
Fax
(501) 552-4448
NPI assigned
Jun 4, 2008
Last updated
Jun 6, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2008

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

Authorized official

Name
Dr. Bobby Perry, MDNPI 1528064821
Title
Physician
Phone
(501) 552-8720

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X C7732 AR Primary

Addresses

Primary practice location

1 Saint Vincent Cir Ste 150
Little Rock, AR 72205-5406

Mailing address

1 Saint Vincent Cir Ste 150
Little Rock, AR 72205-5406
Phone (501) 552-8720

Other identifiers 1

IdentifierTypeStateIssuer
132262002MedicaidAR

Other names 1

  • Bobby D. Perry,M.D.,PA Former legal business name

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1212537600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212710400000",
    "number": "1467611525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 SAINT VINCENT CIR STE 150",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722055406",
            "telephone_number": "501-552-8720",
            "fax_number": "501-552-4448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 SAINT VINCENT CIR STE 150",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722055406",
            "telephone_number": "501-552-8720",
            "fax_number": "501-552-4448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOBBY D. PERRY,M.D.,PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-04",
        "last_updated": "2008-06-06",
        "status": "A",
        "authorized_official_last_name": "PERRY",
        "authorized_official_first_name": "BOBBY",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "501-552-8720",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "AR",
            "license": "C7732",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "132262002",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bobby D. Perry,M.D.,PA",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Little Rock, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2008; 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.