Organization Active NPI

B&T Advanced Health, PLLC

Doing business as Bryant Family Managed Care

  • Primary Care Nurse Practitioner
  • Bryant, AR
National Provider Identifier
1568985240
Registry record updated Apr 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
A004140 Issued in AR
Legal business name
B&T ADVANCED HEALTH, PLLC
Doing business as
Bryant Family Managed Care
Practice address
408 Office Park Dr Ste 3
Bryant, AR 72022-7536
Phone
(501) 847-2835
Fax
(501) 847-3802
NPI assigned
Jul 25, 2017
Last updated
Apr 29, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2024

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

Authorized official

Name
Monica Turner
Title
Admin/Credentialing
Phone
(501) 847-2835

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X A004140 AR Primary

Addresses

Primary practice location

408 Office Park Dr Ste 3
Bryant, AR 72022-7536

Mailing address

408 Office Park Dr Ste 3
Bryant, AR 72022-7536
Phone (501) 847-2835

Other names 1

  • Bryant Family Managed Care Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180131002329 AR Part B Supplier - Clinic/Group Practice 7517227093 Receives reassigned benefits from 5 practitioners
Practice locations: Bryant, AR

National Provider Directory

National Provider Directory

Locations

408 Office Park Dr
Ste 3
Bryant, AR 72022
Phone (501) 553-0000

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1500940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714348800000",
    "number": "1568985240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "408 OFFICE PARK DR STE 3",
            "city": "BRYANT",
            "state": "AR",
            "postal_code": "720227536",
            "telephone_number": "501-847-2835",
            "fax_number": "501-847-3802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "408 OFFICE PARK DR STE 3",
            "city": "BRYANT",
            "state": "AR",
            "postal_code": "720227536",
            "telephone_number": "501-847-2835",
            "fax_number": "501-847-3802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "B&T ADVANCED HEALTH, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-25",
        "last_updated": "2024-04-29",
        "certification_date": "2024-04-29",
        "status": "A",
        "authorized_official_last_name": "TURNER",
        "authorized_official_first_name": "MONICA",
        "authorized_official_title_or_position": "ADMIN/CREDENTIALING",
        "authorized_official_telephone_number": "501-847-2835"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "AR",
            "license": "A004140",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bryant Family Managed Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Bryant Family Managed Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bryant, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.