Active NPI
Brian Joseph Neukirch, M.D.
- Psychiatry Physician
- North Little Rock, AR
National Provider Identifier
1750487567
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- E-3553
- Practice address
- 21 Bridgeway Rd
North Little Rock, AR 72113-9514 - Phone
- (501) 771-1500
- Fax
- (501) 771-8542
- NPI assigned
- Sep 16, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | E-3553 | AR | Primary |
Addresses
Primary practice location
21 Bridgeway Rd
North Little Rock, AR 72113-9514
Mailing address
21 Bridgeway Rd
North Little Rock, AR 72113-9514
Phone (501) 771-1500
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 148799001 | Medicaid | AR |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E-3553 | AR | MD | Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158364800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1219276800000",
"number": "1750487567",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21 BRIDGEWAY RD",
"city": "NORTH LITTLE ROCK",
"state": "AR",
"postal_code": "721139514",
"telephone_number": "501-771-1500",
"fax_number": "501-771-8542"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21 BRIDGEWAY RD",
"city": "NORTH LITTLE ROCK",
"state": "AR",
"postal_code": "721139514",
"telephone_number": "501-771-1500",
"fax_number": "501-771-8542"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NEUKIRCH",
"first_name": "BRIAN",
"middle_name": "JOSEPH",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-16",
"last_updated": "2008-08-21",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "AR",
"license": "E-3553",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "148799001",
"state": "AR"
}
],
"endpoints": [],
"other_names": []
}Other providers in North 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 21, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.