Individual provider Active NPI

Weldon Murry, DPM

  • Podiatrist
  • Fayetteville, AR
National Provider Identifier
1700349669
Registry record updated Feb 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
298 Issued in AR
Practice address
3264 N Northhills Blvd
Fayetteville, AR 72703-4005
Phone
(479) 435-2400
Fax
(479) 435-2401
NPI assigned
Apr 8, 2019
Last updated
Feb 6, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 6, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X 298 AR Primary

Addresses

Primary practice location

3264 N Northhills Blvd
Fayetteville, AR 72703-4005

Mailing address

PO Box 1523
Fayetteville, AR 72702-1523
Phone (479) 571-6038

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address weldon.murry@mana.eclinicaldirectplus.com Direct

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
I20220815003239 AR Practitioner - Podiatry 7113300740 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
William M. Scholl College of Podiatric Medicine, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

3264 N Northhills Blvd
Fayetteville, AR 72703-4005
Phone (479) 435-2400

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue320
Removal of skin lesions1-10
Removal of nail tissue139
Removal or shaving of skin growth90

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
298ARMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Brooke a. Bisbee, DPM, PA Single Specialty CurrentSince Jul 18, 2022 Accepting new patients
Medical Associates of Northwest Arkansas PA Single Specialty CurrentSince Aug 12, 2024 Accepting new patients
Medical Associates of Northwest Arkansas, PA Single Specialty Current Accepting new patients
Brooke a. Bisbee, DPM, PA Single Specialty CurrentSince Jul 18, 2022 Accepting new patients
Medical Associates of Northwest Arkansas PA Single Specialty CurrentSince Aug 12, 2024 Accepting new patients
Medical Associates of Northwest Arkansas PA Past Accepting new patients

Locations

3264 N Northhills Blvd
Fayetteville, AR 72703
Phone (479) 435-2400

3344 N Futrall Dr
Fayetteville, AR 72703
Phone (479) 582-7213

3383 N Mana Ct
Ste 201
Fayetteville, AR 72703
Phone (479) 571-6780

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

Organizations & group practices 6

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": "1554681600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738800000000",
    "number": "1700349669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1523",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727021523",
            "telephone_number": "479-571-6038",
            "fax_number": "479-582-0222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3264 N NORTHHILLS BLVD",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727034005",
            "telephone_number": "479-435-2400",
            "fax_number": "479-435-2401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MURRY",
        "first_name": "WELDON",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-04-08",
        "last_updated": "2025-02-06",
        "certification_date": "2025-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "AR",
            "license": "298",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "weldon.murry@mana.eclinicaldirectplus.com",
            "affiliation": "N",
            "endpointDescription": "Provider's direct address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "3264 N Northhills Blvd",
            "city": "Fayetteville",
            "state": "AR",
            "country_code": "US",
            "postal_code": "727034005",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Fayetteville, AR

Sources for this page

Verify at the official NPI Registry.