NPIMap

Individual provider Active NPI

James Brecheisen, MD

  • Family Medicine Physician
  • Springfield, MO
National Provider Identifier
1750802823
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
2017021159 Issued in MO
Practice address
1423 N Jefferson Ave # B100
Springfield, MO 65802-1917
Phone
(417) 269-8817
Fax
(417) 269-8744
NPI assigned
Jun 29, 2017
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 2017021159 MO Primary

Addresses

Primary practice location

1423 N Jefferson Ave # B100
Springfield, MO 65802-1917

Mailing address

1423 N Jefferson Ave # B100
Springfield, MO 65802-1917
Phone (417) 269-8817

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200619000451 AR Practitioner - Family PracticePractitioner - Emergency Medicine 0547516189 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Emergency Medicine
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Springdale Bentonville HBP Services LLCGroup PAC ID 1052759263, 88 clinicians

Practice addresses (Care Compare)

3000 Medical Ctr Pkwy
Bentonville, AR 72712-3217
Phone (479) 553-1000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
2017021159MOMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Correct Care, Inc. CurrentSince Nov 1, 2022 Accepting new patients
Sevier County Medical Center CurrentSince Oct 1, 2023 Accepting new patients
Arkansas Emergency Staffing Solutions, Inc CurrentSince Jun 19, 2020 Accepting new patients
Emergency Staffing Solutions Region III CurrentSince Jul 2, 2020 Accepting new patients
Sevier County Medical Center CurrentSince Oct 1, 2023 Accepting new patients
Springdale- Bentonville HBP Services, LLC CurrentSince Aug 26, 2024 Accepting new patients
Ess Hospitalist LLC CurrentSince Jun 1, 2024 Accepting new patients
Lester E Cox Medical Centers Family Medicine PastSince Jul 24, 2022 Accepting new patients
Siloam Springs Arkansas Hospital Company LLC Past Accepting new patients

Locations

451 W Locke St
Ashdown, AR 71822
Phone (870) 265-5351

3000 Medical Center Pkwy
Bentonville, AR 72712
Phone (479) 553-2524

1015 Unity Rd
Crossett, AR 71635
Phone (870) 364-0590

960 Highway 71 N
De Queen, AR 71832
Phone (870) 642-6420

101 Hospital Dr
Magnolia, AR 71753
Phone (870) 235-3000

229 Saint John Ln
Covington, LA 70433
Phone (866) 875-9225

Interoperability endpoints

  • Direct secure messaging: james.brecheisen@61823929352196.direct.elationemr.com

Organizations & group practices 10

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 2

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": "1498694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1750802823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1423 N JEFFERSON AVE # B100",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658021917",
            "telephone_number": "417-269-8817",
            "fax_number": "417-269-8744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1423 N JEFFERSON AVE # B100",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658021917",
            "telephone_number": "417-269-8817",
            "fax_number": "417-269-8744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRECHEISEN",
        "first_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-06-29",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MO",
            "license": "2017021159",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, MO

Sources for this page

Verify at the official NPI Registry.