Brooke Elizabeth Preslar, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

2 Saint Vincent Cir
Little Rock, AR 72205-5423

Phone

(501) 265-0620

NPI assigned

Feb 12, 2018

Last updated

Feb 12, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

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

{
    "created_epoch": "1518393600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1518393600000",
    "number": "1629578067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5400 CHENONCEAU BLVD APT 235",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722234731",
            "telephone_number": "417-880-2154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 SAINT VINCENT CIR",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722055423",
            "telephone_number": "501-265-0620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRESLAR",
        "first_name": "BROOKE",
        "middle_name": "ELIZABETH",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-12",
        "last_updated": "2018-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Premier MRI of Little Rock, Inc. (Premier MRI & Imaging of Little Rock)
• Premiere Anesthesia Services, P.a.
• Premise Health of Arkansas Medical P a (Premise Health - Little Rock)
• Presbyterian Village Inc.
• Kourtney Presepio
• Sarah Pressler, MS, CCC-SLP
• Chelsea Elizabeth Presson, NP-C
• Prestige Spine West Little Rock LLC
• Deozjunae Brenda Preston
• Prewett Physical Therapy Inc

• Physician Assistant in Little Rock, AR
• Providers in Little Rock, AR by specialty
• Physician Assistant in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2018; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.