Individual provider Active NPI

Russell Neal Gregory, MD

  • Family Medicine Physician
  • Warren, AR
National Provider Identifier
1497493290
Registry record updated Jun 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
E-18848 Issued in AR
Practice address
404 S Bradley St
Warren, AR 71671-3459
Phone
(870) 226-8636
Fax
(870) 226-8655
NPI assigned
May 23, 2022
Last updated
Jun 13, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 13, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X E-18848 AR Primary

Addresses

Primary practice location

404 S Bradley St
Warren, AR 71671-3459

Mailing address

404 S Bradley St
Warren, AR 71671-3459
Phone (870) 226-8636

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
I20250411003373 AR Practitioner - Family Practice 8426430232 Reassigns benefits to 14 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hospital Care Consultants of Fordyce LLCGroup PAC ID 5395024475, 9 clinicians
Bradley County Medical CenterGroup PAC ID 2961316112, shared by 7 NPIs, 15 clinicians
Correct Care, Inc.Group PAC ID 8628980992, 96 clinicians

Practice addresses (Care Compare)

201 N Clifton St
Fordyce, AR 71742-3026
Phone (870) 352-6300

404 S Bradley St
Warren, AR 71671-3459
Phone (870) 226-3731

451 W Locke St
Little River Mem Hosp
Ashdown, AR 71822-3325
Phone (870) 898-5011

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
E-18848ARMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Board of Governors of Dallas County Medical Center Current Accepting new patients
Concord Medical Group PLLC CurrentSince Dec 17, 2025 Accepting new patients
Bradley County Medical Center CurrentSince Jul 1, 2025 Accepting new patients
Bradley County Medical Center CurrentSince Sep 1, 2025 Accepting new patients
Correct Care, Inc. CurrentSince May 9, 2025 Accepting new patients
Board of Governors of Dallas County Medical Center Current Accepting new patients
Hospital Care Consultants of Fordyce LLC CurrentSince Jul 1, 2025 Accepting new patients
Board of Governors of Dallas County Medical Center CurrentSince Aug 1, 2025 Accepting new patients
Board of Governors of Dallas County Medical Center Family Medicine CurrentSince Aug 1, 2025 Accepting new patients
Bradley County Medical Center CurrentSince Jul 1, 2025 Accepting new patients
Ess of McGehee LLC CurrentSince Apr 1, 2025 Accepting new patients
Emergency Staffing Solutions Region III CurrentSince Jul 1, 2025 Accepting new patients
Concord Medical Group of Texas PLLC CurrentSince Dec 17, 2025 Accepting new patients
Ess of Fordyce LLC CurrentSince Jul 1, 2025 Accepting new patients
HCC of Magnolia LLC CurrentSince Jul 1, 2025 Accepting new patients
Bradley County Medical Center CurrentSince Sep 1, 2025 Accepting new patients
Bradley County Medical Center Current Accepting new patients
University of Arkansas for Medical Sciences Family Medicine PastSince Jul 1, 2023 Accepting new patients
Bradley County Medical Center Past Accepting new patients
University of Arkansas for Medical Sciences Family Medicine PastSince May 1, 2022 Accepting new patients

Locations

451 W Locke St
Ashdown, AR 71822
Phone (870) 265-5351

700 W Grove St
El Dorado, AR 71730
Phone (870) 863-2200

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

1801 Martin Luther King Jr Dr
Helena, AR 72342
Phone (870) 338-5800

101 Hospital Dr
Magnolia, AR 71753
Phone (870) 235-3000

900 S 3rd St
McGehee, AR 71654
Phone (855) 498-6768

304 E Central St
Warren, AR 71671
Phone (870) 226-8636

404 S Bradley St
Warren, AR 71671
Phone (870) 226-3731

229 Saint John Ln
Covington, LA 70433
Phone (866) 875-9225

Interoperability endpoints

  • FHIR API: https://fhir-usa.unify.chbase.com/org/bradley-49d5c27e
  • Direct secure messaging: russell.gregory.1@14285.direct.athenahealth.com

Organizations & group practices 22

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 22

Hospital & facility affiliations 5

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": "1653264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749772800000",
    "number": "1497493290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "404 S BRADLEY ST",
            "city": "WARREN",
            "state": "AR",
            "postal_code": "716713459",
            "telephone_number": "870-226-8636",
            "fax_number": "870-226-8655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "404 S BRADLEY ST",
            "city": "WARREN",
            "state": "AR",
            "postal_code": "716713459",
            "telephone_number": "870-226-8636",
            "fax_number": "870-226-8655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREGORY",
        "first_name": "RUSSELL",
        "middle_name": "NEAL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-05-23",
        "last_updated": "2025-06-13",
        "certification_date": "2025-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AR",
            "license": "E-18848",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warren, AR

Sources for this page

Verify at the official NPI Registry.