Individual provider Active NPI

Eddie Randolph Brown, DDS

  • General Practice Dentistry
  • Texarkana, AR
National Provider Identifier
1528113289
Registry record updated Apr 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
2946 Issued in AR
Practice address
409 Hickory St
Texarkana, AR 71854-5448
Phone
(870) 773-5520
Fax
(870) 773-4299
NPI assigned
Jan 24, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 2946 AR Primary
Dentist 122300000X 33906 TX
Dentist 122300000X 2946 AR

Addresses

Primary practice location

409 Hickory St
Texarkana, AR 71854-5448

Mailing address

2522 S Pinnacle Hills Pkwy Ste 104
Rogers, AR 72758-1415
Phone (479) 254-9494

Other practice location 1

202 Arkansas Blvd
Texarkana, AR 71854-1904
Phone (870) 773-5437 ext. 35437

Other practice location 2

1716 S 4th St
Nashville, AR 71852-3413
Phone (870) 451-1000 ext. 35437

Other identifiers 2

IdentifierTypeStateIssuer
007429601MedicaidTX
120568608MedicaidAR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
2946ARMDDentist
33906TXMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Brown-Stringfellow DDS PC General Practice Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1169596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775433600000",
    "number": "1528113289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2522 S PINNACLE HILLS PKWY STE 104",
            "city": "ROGERS",
            "state": "AR",
            "postal_code": "727581415",
            "telephone_number": "479-254-9494",
            "fax_number": "479-899-6195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "409 HICKORY ST",
            "city": "TEXARKANA",
            "state": "AR",
            "postal_code": "718545448",
            "telephone_number": "870-773-5520",
            "fax_number": "870-773-4299"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "202 Arkansas Blvd",
            "address_purpose": "LOCATION",
            "city": "Texarkana",
            "state": "AR",
            "postal_code": "718541904",
            "country_code": "US",
            "telephone_number": "870-773-5437 x35437",
            "fax_number": "870-774-1000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1716 S 4th St",
            "address_purpose": "LOCATION",
            "city": "Nashville",
            "state": "AR",
            "postal_code": "718523413",
            "country_code": "US",
            "telephone_number": "870-451-1000 x35437",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BROWN",
        "first_name": "EDDIE",
        "middle_name": "RANDOLPH",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-24",
        "last_updated": "2026-04-06",
        "certification_date": "2026-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AR",
            "license": "2946",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "33906",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "AR",
            "license": "2946",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "007429601",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "120568608",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Texarkana, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2026; 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.