Organization Active NPI

Arkansas Neurodiagnostic Center, P. a.

  • Neurology Physician
  • Little Rock, AR
National Provider Identifier
1487623732
Registry record updated Oct 8, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
R4463 Issued in AR
Legal business name
ARKANSAS NEURODIAGNOSTIC CENTER, P. A.
Practice address
223 Sunnymeade Dr
Little Rock, AR 72205-4736
Phone
(501) 224-6625
Fax
(501) 224-6619
NPI assigned
Mar 17, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2014

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

Authorized official

Name
Dr. Alonzo Richard Burba, M.D.
Title
Business Owner
Phone
(501) 224-6625

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084N0400X R4463 AR Primary

Addresses

Primary practice location

223 Sunnymeade Dr
Little Rock, AR 72205-4736

Mailing address

PO Box 34113
Little Rock, AR 72203-4113
Phone (501) 224-6625

National Provider Directory

National Provider Directory

Locations

1200 N Main St
Benton, AR 72015
Phone (501) 776-6197

9601 Baptist Health Dr
Ste 650
Little Rock, AR 72205

NPI Registry JSON

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

{
    "created_epoch": "1142553600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1412726400000",
    "number": "1487623732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 34113",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722034113",
            "telephone_number": "501-224-6625",
            "fax_number": "501-224-6619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "223 SUNNYMEADE DR",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722054736",
            "telephone_number": "501-224-6625",
            "fax_number": "501-224-6619"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARKANSAS NEURODIAGNOSTIC CENTER, P. A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-17",
        "last_updated": "2014-10-08",
        "status": "A",
        "authorized_official_last_name": "BURBA",
        "authorized_official_first_name": "ALONZO",
        "authorized_official_middle_name": "RICHARD",
        "authorized_official_title_or_position": "BUSINESS OWNER",
        "authorized_official_telephone_number": "501-224-6625",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "AR",
            "license": "R4463",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Oct 8, 2014; 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.