Active NPI
Richard E. Braley, M.D. P.a.
- Ophthalmology Physician
- Hot Springs National Park, AR
National Provider Identifier
1659608669
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- R2711
- Legal business name
- RICHARD E. BRALEY, M.D. P.A.
- Practice address
- 1661 Higdon Ferry Rd
Hot Springs National Park, AR 71913-6913 - Phone
- (501) 525-0790
- Fax
- (501) 525-9989
- NPI assigned
- Nov 11, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Richard E Braley, M.D.
- Title
- President
- Phone
- (501) 525-0790
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | R2711 | AR | Primary |
Addresses
Primary practice location
1661 Higdon Ferry Rd
Hot Springs National Park, AR 71913-6913
Mailing address
1661 Higdon Ferry Rd
Hot Springs National Park, AR 71913-6913
Phone (501) 525-0790
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1314100040 | Other | AR | QUALCHOICE |
| 102433001 | Medicaid | AR |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AR
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
1661 Higdon Ferry Rd
Hot Springs National Park, AR 71913
Phone (501) 525-0790
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Ophthalmology Physician
- Hot Springs National Park, AR
- NPI 1467486753
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1257897600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1381449600000",
"number": "1659608669",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1661 HIGDON FERRY RD",
"city": "HOT SPRINGS NATIONAL PARK",
"state": "AR",
"postal_code": "719136913",
"telephone_number": "501-525-0790",
"fax_number": "501-525-9989"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1661 HIGDON FERRY RD",
"city": "HOT SPRINGS NATIONAL PARK",
"state": "AR",
"postal_code": "719136913",
"telephone_number": "501-525-0790",
"fax_number": "501-525-9989"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RICHARD E. BRALEY, M.D. P.A.",
"organizational_subpart": "NO",
"enumeration_date": "2009-11-11",
"last_updated": "2013-10-11",
"status": "A",
"authorized_official_last_name": "BRALEY",
"authorized_official_first_name": "RICHARD",
"authorized_official_middle_name": "E",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "501-525-0790",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Ophthalmology",
"state": "AR",
"license": "R2711",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "QUALCHOICE",
"identifier": "1314100040",
"state": "AR"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "102433001",
"state": "AR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hot Springs National Park, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.