NPIMap

Individual provider Active NPI

Michael Brandon Pafford, MD

  • Hospitalist Physician
  • Benton, AR
National Provider Identifier
1508814617
Registry record updated Apr 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
E-3316 Issued in AR
Practice address
1 Medical Park Dr
Benton, AR 72015-3353
Phone
(501) 776-6000
NPI assigned
May 4, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X E3316 AR
Hospitalist Physician 208M00000X E-3316 AR Primary

Addresses

Primary practice location

1 Medical Park Dr
Benton, AR 72015-3353

Mailing address

5 Medical Park Dr Ste 304
Benton, AR 72015-3745
Phone (501) 408-2429

Other practice location 1

1901 Encore Way
Bryant, AR 72019-8896
Phone (501) 219-7000

Other practice location 2

212 Willie Ray Dr
Cabot, AR 72023-9171
Phone (501) 333-9110

Other practice location 3

1808 W Main St
Russellville, AR 72801-2724
Phone (479) 964-4178

Other identifiers 2

IdentifierTypeStateIssuer
E-3316OtherARASMB LICENSE
150310001MedicaidAR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040623001692 AR Practitioner - HospitalistPractitioner - Internal Medicine 4587649314 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Hospitalist
Education
University of Arkansas College of Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Inpatient SolutionsGroup PAC ID 5597195206, 31 clinicians

Practice addresses (Care Compare)

5 Medical Park Dr
Suite 304
Benton, AR 72015-3745
Phone (501) 408-2429

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
E3316ARMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St Mary's Physician Services LLC Internal Medicine CurrentSince Feb 1, 2023 Accepting new patients
Arkansas Heart Hospital, LLC CurrentSince Apr 6, 2020 Accepting new patients
Saline Clinics LLC Internal Medicine CurrentSince Jul 1, 2016 Accepting new patients
St Marys Physician Services, LLC CurrentSince Feb 1, 2023 Accepting new patients
Inpatient Solutions Internal Medicine CurrentSince Nov 7, 2019 Accepting new patients
Arkansas Heart Hospital, LLC CurrentSince Apr 6, 2020 Accepting new patients
White County Medical Center CurrentSince Oct 6, 2019 Accepting new patients
White County Medical Center Hospitalist Current Accepting new patients
White County Medical Center CurrentSince Oct 6, 2019 Accepting new patients
Stuttgart Regional Medical Center Past Accepting new patients
St Marys Physician Services, LLC Past Accepting new patients
Stuttgart Regional Medical Center Past Accepting new patients

Locations

5 Medical Park Dr
Ste 304
Benton, AR 72015
Phone (501) 408-2429

1 Medical Park Dr
Bryant, AR 72015
Phone (501) 776-6000

1901 Encore Way
Bryant, AR 72019
Phone (501) 213-4500

1100 E Poplar St
Ste B
Clarksville, AR 72830
Phone (479) 754-5454

7 Shackleford West Blvd
Little Rock, AR 72211
Phone (501) 614-3671

101 Skyline Dr
Russellville, AR 72801
Phone (479) 968-2345

1808 W Main St
Russellville, AR 72801
Phone (479) 964-4178

2900 Hawkins Dr
Searcy, AR 72143
Phone (501) 278-2800

3214 E Race Ave
Searcy, AR 72143
Phone (501) 268-6121

2902 E Race Ave
Searcy, AR 72143
Phone (501) 236-0225

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/16686/brand/1/csg/1/fhir/r4

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 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": "1146700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682035200000",
    "number": "1508814617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 MEDICAL PARK DR STE 304",
            "city": "BENTON",
            "state": "AR",
            "postal_code": "720153745",
            "telephone_number": "501-408-2429",
            "fax_number": "501-408-2822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 MEDICAL PARK DR",
            "city": "BENTON",
            "state": "AR",
            "postal_code": "720153353",
            "telephone_number": "501-776-6000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1901 Encore Way",
            "address_purpose": "LOCATION",
            "city": "Bryant",
            "state": "AR",
            "postal_code": "720198896",
            "country_code": "US",
            "telephone_number": "501-219-7000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "212 Willie Ray Dr",
            "address_purpose": "LOCATION",
            "city": "Cabot",
            "state": "AR",
            "postal_code": "720239171",
            "country_code": "US",
            "telephone_number": "501-333-9110",
            "fax_number": "501-333-9120",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1808 W Main St",
            "address_purpose": "LOCATION",
            "city": "Russellville",
            "state": "AR",
            "postal_code": "728012724",
            "country_code": "US",
            "telephone_number": "479-964-4178",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PAFFORD",
        "first_name": "MICHAEL",
        "middle_name": "BRANDON",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-04",
        "last_updated": "2023-04-21",
        "certification_date": "2023-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AR",
            "license": "E3316",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "AR",
            "license": "E-3316",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ASMB LICENSE",
            "identifier": "E-3316",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "150310001",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Benton, AR

Sources for this page

Verify at the official NPI Registry.