NPIMap

Organization Active NPI

Central Arkansas Vascular Associates PLLC

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Little Rock, AR
National Provider Identifier
1669619987
Registry record updated Aug 17, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X
License
E-5295 Issued in AR
Legal business name
CENTRAL ARKANSAS VASCULAR ASSOCIATES PLLC
Practice address
9601 Lile Dr
700 Medical Towers Building I
Little Rock, AR 72205-6321
Phone
(501) 219-1970
Fax
(501) 219-1944
NPI assigned
Jan 8, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2009

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

Authorized official

Name
Dr. Brett Lane Alberty, M.D.
Title
Owner/Surgeon
Phone
(501) 219-1970

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208G00000X E-5295 AR Primary

Addresses

Primary practice location

9601 Lile Dr
700 Medical Towers Building I
Little Rock, AR 72205-6321

Mailing address

9601 Lile Dr
700 Medical Towers Building I
Little Rock, AR 72205-6321
Phone (501) 219-1970

Other identifiers 1

IdentifierTypeStateIssuer
DO9632OtherARRAILROAD MEDICARE

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1231372800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1250467200000",
    "number": "1669619987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9601 LILE DR",
            "address_2": "700 MEDICAL TOWERS BUILDING I",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722056321",
            "telephone_number": "501-219-1970",
            "fax_number": "501-219-1944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9601 LILE DR",
            "address_2": "700 MEDICAL TOWERS BUILDING I",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722056321",
            "telephone_number": "501-219-1970",
            "fax_number": "501-219-1944"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL ARKANSAS VASCULAR ASSOCIATES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-08",
        "last_updated": "2009-08-17",
        "status": "A",
        "authorized_official_last_name": "ALBERTY",
        "authorized_official_first_name": "BRETT",
        "authorized_official_middle_name": "LANE",
        "authorized_official_title_or_position": "OWNER/SURGEON",
        "authorized_official_telephone_number": "501-219-1970",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208G00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "AR",
            "license": "E-5295",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DO9632",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Little Rock, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2009; 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.