Individual provider Active NPI

Spencer Alexander, DPM

  • Foot & Ankle Surgery Podiatrist
  • Rogers, AR
National Provider Identifier
1659877884
Registry record updated Oct 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
305 Issued in AR
Practice address
200 S 20TH St Ste B
Rogers, AR 72758-1100
Phone
(479) 636-9393
Fax
(479) 636-9341
NPI assigned
Apr 5, 2018
Last updated
Oct 27, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 305 AR Primary

Addresses

Primary practice location

200 S 20TH St Ste B
Rogers, AR 72758-1100

Mailing address

200 S 20TH St Ste B
Rogers, AR 72758-1100
Phone (479) 636-9393

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231026000468 AR Practitioner - Podiatry 5395093959 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Kent State University College of Podiatric Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Brooke a Bisbee DPM PAGroup PAC ID 2961528179, 4 clinicians

Practice addresses (Care Compare)

200 S 20TH St
Suite B
Rogers, AR 72758-1100
Phone (479) 636-9393

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue104
Removal of skin lesions1-10
Removal of nail tissue190
Removal or shaving of skin growth65
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
305ARMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Brooke a. Bisbee, DPM, PA Foot & Ankle Surgery CurrentSince Nov 1, 2023 Accepting new patients
Brooke a. Bisbee, DPM, PA Foot & Ankle Surgery CurrentSince Nov 1, 2023 Accepting new patients

Locations

209 Carter St
Berryville, AR 72616
Phone (479) 636-9393

200 S 20th St
Ste B
Rogers, AR 72758
Phone (479) 636-9393

Interoperability endpoints

  • Direct secure messaging: spencer.alexander.1@4399.direct.athenahealth.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1522886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698364800000",
    "number": "1659877884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 S 20TH ST STE B",
            "city": "ROGERS",
            "state": "AR",
            "postal_code": "727581100",
            "telephone_number": "479-636-9393",
            "fax_number": "479-636-9341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 S 20TH ST STE B",
            "city": "ROGERS",
            "state": "AR",
            "postal_code": "727581100",
            "telephone_number": "479-636-9393",
            "fax_number": "479-636-9341"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALEXANDER",
        "first_name": "SPENCER",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-04-05",
        "last_updated": "2023-10-27",
        "certification_date": "2023-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "AR",
            "license": "305",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rogers, AR

Sources for this page

Verify at the official NPI Registry.