Organization Active NPI

Calvin M Bracy MD PA

  • Obstetrics & Gynecology Physician
  • Pine Bluff, AR
National Provider Identifier
1609942242
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
C4255 Issued in AR
Legal business name
CALVIN M BRACY MD PA
Practice address
1301 West 43Rd Avenue
Pine Bluff, AR 71603
Phone
(870) 536-7550
Fax
(870) 536-1291
NPI assigned
Nov 27, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Calvin M Bracy
Title
President
Phone
(870) 536-7550

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207V00000X C4255 AR Primary

Addresses

Primary practice location

1301 West 43Rd Avenue
Pine Bluff, AR 71603

Mailing address

1301 West 43Rd Avenue
Pine Bluff, AR 71603
Phone (870) 536-7550

National Provider Directory

National Provider Directory

Locations

1301 W 43rd Ave
Pine Bluff, AR 71603
Phone (870) 536-7550

NPI Registry JSON

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

{
    "created_epoch": "1164585600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1609942242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 WEST 43RD AVENUE",
            "city": "PINE BLUFF",
            "state": "AR",
            "postal_code": "71603",
            "telephone_number": "870-536-7550",
            "fax_number": "870-536-1291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 WEST 43RD AVENUE",
            "city": "PINE BLUFF",
            "state": "AR",
            "postal_code": "71603",
            "telephone_number": "870-536-7550",
            "fax_number": "870-536-1291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CALVIN M BRACY MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BRACY",
        "authorized_official_first_name": "CALVIN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "870-536-7550"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "AR",
            "license": "C4255",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pine Bluff, AR

Sources for this page

  • 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.