Active NPI
University of Arkansas for Medical Sciences
- Family Medicine Physician
- Magnolia, AR
National Provider Identifier
1750375895
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- UNIVERSITY OF ARKANSAS FOR MEDICAL SCIENCES
- Practice address
- 1617 N Washington
Magnolia, AR 71753-2046 - Phone
- (870) 234-7676
- NPI assigned
- Sep 5, 2005
- Last updated
- Jun 19, 2025
- Organization subpart
- Yes
- Parent organization
- UNIVERSITY OF ARKANSAS FOR MEDICAL SCIENCES
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Amanda George
- Title
- Vice Chancellor-Chief Financial Off
- Phone
- (501) 686-5670
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | NU | Primary | |
| Community Health Clinic/Center | 261QC1500X | NU |
Addresses
Primary practice location
1617 N Washington
Magnolia, AR 71753-2046
Mailing address
PO Box 251420
Little Rock, AR 72225-1420
Phone (501) 686-8000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 303327002 | Medicaid | AR |
Other names 1
- Family Medical Center in Magnolia
National Provider Directory
National Provider Directory- Part of
- Raymond Bredfeldt MD
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1125878400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1750291200000",
"number": "1750375895",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 251420",
"city": "LITTLE ROCK",
"state": "AR",
"postal_code": "722251420",
"telephone_number": "501-686-8000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1617 N WASHINGTON",
"city": "MAGNOLIA",
"state": "AR",
"postal_code": "717532046",
"telephone_number": "870-234-7676"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "UNIVERSITY OF ARKANSAS FOR MEDICAL SCIENCES",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "UNIVERSITY OF ARKANSAS FOR MEDICAL SCIENCES",
"enumeration_date": "2005-09-05",
"last_updated": "2025-06-19",
"certification_date": "2025-06-19",
"status": "A",
"authorized_official_last_name": "GEORGE",
"authorized_official_first_name": "AMANDA",
"authorized_official_title_or_position": "VICE CHANCELLOR-CHIEF FINANCIAL OFF",
"authorized_official_telephone_number": "501-686-5670"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "261QC1500X",
"taxonomy_group": "",
"desc": "Clinic/Center, Community Health",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "303327002",
"state": "AR"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Family Medical Center in Magnolia",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Magnolia, AR
- Twin Rivers Respiratory Care, Inc. (Magnolia Respiratory Care)
- United Methodist Behavioral Health System, Inc
- University of Arkansas for Medical Science South
- University of Arkansas for Medical Sciences (UAMS Family Medical Clinic-Magnolia)
- University of Arkansas for Medical Sciences (Kids First Magnolia)
- University of Arkansas for Medical Sciences (UAMS Family Medical Clinic-Magnolia)
- Urgent Care Associates LLC (Premier Urgent Care)
- Brooke Vaughan
- Bonnie M. Vest, MA CCC-SLP
- Rebekah Wagner
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.