Active NPI
Preston Ross Bandy, MD
- Rheumatology Physician
- Hot Springs, AR
National Provider Identifier
1619919339
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rheumatology Physician
- License
- R3661
- Practice address
- 300 Prospect Avenue
Hot Springs, AR 71901-4003 - Phone
- (501) 802-0143
- Fax
- (501) 622-3365
- NPI assigned
- Jun 11, 2006
- Reactivated
- Sep 17, 2024
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rheumatology Physician | 207RR0500X | R3661 | AR | Primary |
Addresses
Primary practice location
300 Prospect Avenue
Hot Springs, AR 71901-4003
Mailing address
300 Prospect Avenue
Hot Springs, AR 71901-4003
Phone (501) 622-3574
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 112717001 | Medicaid | AR |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R3661 | AR | MD | Rheumatology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149984000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1761091200000",
"number": "1619919339",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 PROSPECT AVENUE",
"city": "HOT SPRINGS",
"state": "AR",
"postal_code": "719014003",
"telephone_number": "501-622-3574",
"fax_number": "501-622-3365"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 PROSPECT AVENUE",
"city": "HOT SPRINGS",
"state": "AR",
"postal_code": "719014003",
"telephone_number": "501-802-0143",
"fax_number": "501-622-3365"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BANDY",
"first_name": "PRESTON",
"middle_name": "ROSS",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-06-11",
"last_updated": "2025-10-22",
"certification_date": "2025-10-22",
"deactivation_date": "2024-06-24",
"reactivation_date": "2024-09-17",
"status": "A"
},
"taxonomies": [
{
"code": "207RR0500X",
"taxonomy_group": "",
"desc": "Internal Medicine, Rheumatology",
"state": "AR",
"license": "R3661",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "112717001",
"state": "AR"
}
],
"endpoints": [],
"other_names": []
}Other providers in Hot Springs, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.