Individual provider Active NPI

Brett Monroe

  • Emergency Medicine Physician
  • Fort Smith, AR
National Provider Identifier
1497246086
Registry record updated Dec 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
E-12759 Issued in AR
Practice address
612 S 12TH St
Fort Smith, AR 72901-4702
Phone
(479) 785-2431
Fax
(479) 785-0732
NPI assigned
May 20, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X E-12759 AR
Emergency Medicine Physician 207P00000X E-12759 AR Primary

Addresses

Primary practice location

612 S 12TH St
Fort Smith, AR 72901-4702

Mailing address

612 S 12TH St
Fort Smith, AR 72901-4702
Phone (479) 785-2431

Other identifiers 1

IdentifierTypeStateIssuer
238553001MedicaidAR

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
I20200131001813 AR Practitioner - Family PracticePractitioner - Emergency Medicine 7113353632 Reassigns benefits to 9 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Emergency Medicine
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southeastern Emergency Physicians LLCGroup PAC ID 2466364997, 776 clinicians

Practice addresses (Care Compare)

1001 Towson Ave
Fort Smith, AR 72901-4921
Phone (479) 441-4000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
E-12759ARMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ess of Fordyce LLC Emergency Medicine CurrentSince Jan 1, 2020 Accepting new patients
Mercy Clinic Fort Smith Communities CurrentSince Nov 9, 2020 Accepting new patients
Baptist Medcare, Inc Emergency Medicine CurrentSince Jul 31, 2021 Accepting new patients
Springdale- Bentonville HBP Services, LLC Emergency Medicine CurrentSince Nov 11, 2024 Accepting new patients
Southeastern Emergency Physicians LLC Emergency Medicine CurrentSince Jan 1, 2023 Accepting new patients
Arkansas Emergency Staffing Solutions, Inc Emergency Medicine CurrentSince Nov 1, 2020 Accepting new patients
Prime Physicians LLC CurrentSince Jan 1, 2020 Accepting new patients
Mercy Clinic Fort Smith Communities CurrentSince Nov 9, 2020 Accepting new patients
Hospital Care Consultants of Fordyce LLC CurrentSince Jan 1, 2020 Accepting new patients
Baptist Health Regional Hospitals Past Accepting new patients
Baptist Health Regional Hospitals Past Accepting new patients

Locations

3050 Twin Rivers Dr
Arkadelphia, AR 71923
Phone (501) 202-2300

3000 Medical Center Pkwy
Bentonville, AR 72712
Phone (479) 553-2524

880 W Main St
Booneville, AR 72927
Phone (479) 675-2800

128 Daniel Dr
Booneville, AR 72927
Phone (479) 675-2455

1100 E Poplar St
Clarksville, AR 72830
Phone (479) 754-5393

1015 Unity Rd
Crossett, AR 71635
Phone (870) 364-0590

201 N Clifton St
Fordyce, AR 71742
Phone (870) 352-6300

1001 Towson Ave
Fort Smith, AR 72901
Phone (479) 441-3980

7301 Rogers Ave
Fort Smith, AR 72903
Phone (479) 314-4600

7001 Rogers Ave
Ste 200
Fort Smith, AR 72903
Phone (479) 314-4620

4800 E Johnson Ave
Jonesboro, AR 72405
Phone (870) 732-2100

11001 Executive Center Dr
Ste 200
Little Rock, AR 72211
Phone (501) 812-7215

801 W River St
Ozark, AR 72949
Phone (479) 667-4138

500 E Academy St
Paris, AR 72855
Phone (479) 963-6101

211 Crawford Memorial Dr
Van Buren, AR 72956
Phone (479) 471-4300

1341 W 6th St
Waldron, AR 72958
Phone (479) 637-2136

Organizations & group practices 12

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 2

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": "1526774400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671062400000",
    "number": "1497246086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "612 S 12TH ST",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729014702",
            "telephone_number": "479-785-2431",
            "fax_number": "479-785-0732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "612 S 12TH ST",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729014702",
            "telephone_number": "479-785-2431",
            "fax_number": "479-785-0732"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONROE",
        "first_name": "BRETT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-05-20",
        "last_updated": "2022-12-15",
        "certification_date": "2022-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AR",
            "license": "E-12759",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "AR",
            "license": "E-12759",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "238553001",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Smith, AR

Sources for this page

Verify at the official NPI Registry.