Cotner Medical Clinic

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

COTNER MEDICAL CLINIC

Practice address

25 Professional Park Dr
Clarksville, AR 72830-4432

Phone

(479) 754-9945

Fax

(479) 754-9947

NPI assigned

Mar 21, 2006

Organization subpart

No

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

Authorized official

Name

J. Brian Cotner, M.D.

Title

Owner

Phone

(479) 754-9945

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• James Brian Cotner, MD

  • Family Medicine Physician
  • Clarksville, AR
  • NPI 1164482162
  NPD (past)
• Robert F Noonan, M.D.

  • Family Medicine Physician
  • Clarksville, AR
  • NPI 1902867070
  NPD (past)

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

{
    "created_epoch": "1142899200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1669431326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 336",
            "city": "CLARKSVILLE",
            "state": "AR",
            "postal_code": "728300336",
            "telephone_number": "479-754-9945",
            "fax_number": "479-754-9947"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 PROFESSIONAL PARK DR",
            "city": "CLARKSVILLE",
            "state": "AR",
            "postal_code": "728304432",
            "telephone_number": "479-754-9945",
            "fax_number": "479-754-9947"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COTNER MEDICAL CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "COTNER",
        "authorized_official_first_name": "J.",
        "authorized_official_middle_name": "BRIAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "479-754-9945",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ARK BLUECROSS",
            "identifier": "5C879",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Consolidated School District No 17
• Contemporary Healthcare for Women
• Conway County Community Service Inc
• James Roger Cook, DDS
• Melissa Kay Cossey
• James Brian Cotner, MD
• Alishia Cotton, RECOVERY ASSISTANT
• Quintinn Cotton, RECOVERY ASSISTANT
• Counseling Associates, Inc
• Counselors R US, PLLC

• Family Medicine Physician in Clarksville, AR
• Providers in Clarksville, AR by specialty
• Family Medicine Physician in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.