Branmat Corporation

Primary specialty

Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X

License

518 Issued in AR

Legal business name

BRANMAT CORPORATION

Doing business as

Arkansas Pediatric Facility

Practice address

4100 Heritage Dr
North Little Rock, AR 72117-2522

Phone

(501) 945-3177

Fax

(501) 945-0219

NPI assigned

May 16, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Steve Sink

Title

Owner

Phone

(501) 945-3177

Specialties & licenses 1

Addresses

Other names 1

• ARKANSAS PEDIATRIC FACILITY Doing business as

Locations

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

{
    "created_epoch": "1179273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1548477268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6388",
            "city": "NORTH LITTLE ROCK",
            "state": "AR",
            "postal_code": "721246388",
            "telephone_number": "501-945-3177",
            "fax_number": "501-945-0219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4100 HERITAGE DR",
            "city": "NORTH LITTLE ROCK",
            "state": "AR",
            "postal_code": "721172522",
            "telephone_number": "501-945-3177",
            "fax_number": "501-945-0219"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRANMAT CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SINK",
        "authorized_official_first_name": "STEVE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "501-945-3177"
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "AR",
            "license": "518",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ARKANSAS PEDIATRIC FACILITY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jon Paul Bradley
• Susan Leigh Bradley, CERTIFIED THERAPEUTI
• Laura Ann Bradney, M.D.
• Lacey Brandenburg
• Jade T Brandon
• Kevin Kyle Brannon, LMSW
• Eric Bravo, M.D.
• Christopher Chase Brazeal
• Lanzy Brazear, M.S., CCC-SLP
• Dustin J Brazil, CRNA

• Intellectual and/or Developmental Disabilities Residential Treatment Facility in North Little Rock, AR
• Providers in North Little Rock, AR by specialty
• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.