Active NPI
Russell B Branum, MD
- Rheumatology Physician
- Fort Smith, AR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rheumatology Physician
- License
- E3265
- Practice address
- 1501 S Waldron Rd
Ste 202
Fort Smith, AR 72903-2574 - Phone
- (479) 755-6900
- Fax
- (479) 755-6903
- NPI assigned
- Oct 4, 2005
- Sex
- Male
- Sole proprietor
- No
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 | E3265 | AR | Primary |
Addresses
Primary practice location
1501 S Waldron Rd
Ste 202
Fort Smith, AR 72903-2574
Mailing address
PO Box 11436
Fort Smith, AR 72917-1436
Phone (479) 755-6900
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20041006001231 | AR | Practitioner - Rheumatology | 4789643693 | Reassigns benefits to 3 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Rheumatology
- Education
- University of California, Geffen School of Medicine, 1988
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- ArcareTrublu, LLC
Practice addresses (Care Compare)
1501 S Waldron Rd
Suite 202
Fort Smith, AR 72903-2598
Phone (479) 755-6900
1501 S Waldron Rd
Suite 204
Fort Smith, AR 72903-2565
Phone (479) 755-6900
178 Hwy 167 N
Bald Knob, AR 72010-4058
Phone (501) 724-6207
2173 S Lamar Blvd
Oxford, MS 38655-5223
Phone (870) 347-3314
623 N 9TH St
Augusta, AR 72006-2129
Phone (870) 347-2534
Hospital & facility affiliations
- Baptist Health - Fort Smith
- Mercy Hospital Fort Smith
- Eastern Oklahoma Medical Center
- Mena Regional Health System
- Mercy Hospital Booneville
Merit-based Incentive Payment System (MIPS)
- Final score
- 98.51 of 100
- Quality
- 100
- Improvement activities
- 40
- Cost
- 87.71
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E3265 | AR | MD | Rheumatology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Arcare | Current | Accepting new patients | |
| Arcare | Current | Accepting new patients | |
| Arcare | Current | Accepting new patients | |
| Trublu, LLC | Rheumatology | Current | Accepting new patients |
| Ft Smith Rheumatology PC | Current | Accepting new patients | |
| Sparks Medical Foundation | Past | Accepting new patients | |
| Arcare | Past | Accepting new patients |
Locations
623 N 9th St
#40
Augusta, AR 72006
1501 S Waldron Rd
Ste 202
Fort Smith, AR 72903
Phone (479) 434-2743
1501 S Waldron Rd
Ste 204
Fort Smith, AR 72903
Phone (479) 755-6900
Interoperability endpoints
- russell.branum.p1@direct.fsr.nextgenshare.com
- russell.branum@trublu.directbygreenway.com
- russell.branum@arcare.directbygreenway.com
Organizations & group practices 7
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.
-
- Federally Qualified Health Center (FQHC)
- Jonesboro, AR
- NPI 1780336263
-
- Federally Qualified Health Center (FQHC)
- Jacksonville, AR
- NPI 1821802729
-
- Federally Qualified Health Center (FQHC)
- Brinkley, AR
- NPI 1669433363
-
- Durable Medical Equipment & Medical Supplies
- Fort Smith, AR
- NPI 1801995873
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Fort Smith, AR
- NPI 1710463146
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1128384000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1397692800000",
"number": "1629065685",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 11436",
"city": "FORT SMITH",
"state": "AR",
"postal_code": "729171436",
"telephone_number": "479-755-6900",
"fax_number": "479-755-6903"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1501 S WALDRON RD",
"address_2": "STE 202",
"city": "FORT SMITH",
"state": "AR",
"postal_code": "729032574",
"telephone_number": "479-755-6900",
"fax_number": "479-755-6903"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRANUM",
"first_name": "RUSSELL",
"middle_name": "B",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-10-04",
"last_updated": "2014-04-17",
"status": "A"
},
"taxonomies": [
{
"code": "207RR0500X",
"taxonomy_group": "",
"desc": "Internal Medicine, Rheumatology",
"state": "AR",
"license": "E3265",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Smith, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.