Individual provider Active NPI

Bryauna Lewis Duncombe, M.D.

  • Pediatrics Physician
  • West Memphis, AR
National Provider Identifier
1619397809
Registry record updated Mar 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
E17527 Issued in AR
Practice address
900 N 7TH St
West Memphis, AR 72301-2001
Phone
(870) 735-3842
NPI assigned
Apr 26, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X MD.34523 AL
Student in an Organized Health Care Education/Training Program 390200000X
Pediatrics Physician 208000000X E17527 AR Primary

Addresses

Primary practice location

900 N 7TH St
West Memphis, AR 72301-2001

Mailing address

900 N 7TH St
West Memphis, AR 72301-2001
Phone (870) 735-3842

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL, AR2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20170525000668 AL Practitioner - Pediatric Medicine 1254554272 Reassigns benefits to 1 organization
I20240401002329 AR Practitioner - Pediatric Medicine 1254554272 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD.34523ALMDPediatrics Physician
E17527ARMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
East Arkansas Family Health Center, Inc Current Accepting new patients
University of Alabama Health Services Foundation, PC Pediatrics CurrentSince Apr 1, 2017 Accepting new patients
East Arkansas Family Health Center, Inc CurrentSince Mar 4, 2024 Accepting new patients
University of Alabama Health Services Foundation, PC. CurrentSince Apr 1, 2017 Accepting new patients
East Arkansas Family Health Center Inc. Current Accepting new patients
Uahsf PC Department of Peds Hemoc Pediatrics Past Accepting new patients

Locations

5720 1st Ave S
Birmingham, AL 35212
Phone (205) 380-9455

703 Volker Hall
Birmingham, AL 35294
Phone (205) 638-9587

1600 7th Ave S
Birmingham, AL 35233
Phone (205) 638-9100

513 Porter St
Helena, AR 72342
Phone (870) 817-0122

301 W Polk Ave
West Memphis, AR 72301
Phone (870) 735-0833

900 N 7th St
West Memphis, AR 72301
Phone (870) 735-3842

Organizations & group practices 6

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": "1398470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710720000000",
    "number": "1619397809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 N 7TH ST",
            "city": "WEST MEMPHIS",
            "state": "AR",
            "postal_code": "723012001",
            "telephone_number": "870-735-3842",
            "fax_number": "870-394-9476"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 N 7TH ST",
            "city": "WEST MEMPHIS",
            "state": "AR",
            "postal_code": "723012001",
            "telephone_number": "870-735-3842"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUNCOMBE",
        "first_name": "BRYAUNA",
        "middle_name": "LEWIS",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-04-26",
        "last_updated": "2024-03-18",
        "certification_date": "2024-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "AL",
            "license": "MD.34523",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "AR",
            "license": "E17527",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Memphis, AR

Sources for this page

Verify at the official NPI Registry.