Individual provider Active NPI

Daphne Karen Macbruce, M.D.

  • Pulmonary Disease Physician
  • Fort Smith, AR
National Provider Identifier
1780966937
Registry record updated Sep 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
E-9013 Issued in AR
Practice address
2713 S 74TH St Ste 301
Fort Smith, AR 72903-5155
Phone
(479) 314-4620
Fax
(479) 314-4630
NPI assigned
Sep 14, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X E-9013 AR Primary
Critical Care Medicine (Internal Medicine) Physician 207RC0200X E-9013 AR

Addresses

Primary practice location

2713 S 74TH St Ste 301
Fort Smith, AR 72903-5155

Mailing address

2713 S 74TH St Ste 301
Fort Smith, AR 72903-5155
Phone (479) 314-4620

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150624002434 AR Practitioner - Pulmonary DiseasePractitioner - Critical Care (Intensivists) 5991016453 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary DiseaseAlso: Critical Care (Intensivists)
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mercy Clinic Fort Smith CommunitiesGroup PAC ID 3870668510, 361 clinicians

Practice addresses (Care Compare)

7303 Rogers Ave
Suite 302
Fort Smith, AR 72903-4105
Phone (479) 314-7590

Hospital & facility affiliations

  • Mercy Hospital Fort Smith Hospital, Fort Smith, AR, CCN 040062
  • Mercy Hospital Booneville Hospital, Booneville, AR, CCN 041318
  • Arkansas Extended Care Hospital-Ft Smith Long-term care hospital, Fort Smith, AR, CCN 042008

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Clinic Fort Smith Communities CurrentSince Jun 1, 2015 Accepting new patients
Mercy Clinic Fort Smith Communities CurrentSince Jun 1, 2015 Accepting new patients

Locations

7303 Rogers Ave
Ste 302
Fort Smith, AR 72903
Phone (479) 452-1188

7001 Rogers Ave
Ste 200
Fort Smith, AR 72903
Phone (479) 314-4620

2901 S 74th St
Fort Smith, AR 72903
Phone (479) 314-1101

2713 S 74th St
Ste 301
Fort Smith, AR 72903
Phone (479) 314-4620

7301 Rogers Ave
Fort Smith, AR 72903
Phone (479) 314-4600

Interoperability endpoints

  • Direct secure messaging: dmacbruce703313@directc.mercy.net
  • Direct secure messaging: dmacbruce703929@directb.mercy.net

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 3

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": "1315958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599782400000",
    "number": "1780966937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2713 S 74TH ST STE 301",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729035155",
            "telephone_number": "479-314-4620",
            "fax_number": "479-314-4630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2713 S 74TH ST STE 301",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729035155",
            "telephone_number": "479-314-4620",
            "fax_number": "479-314-4630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACBRUCE",
        "first_name": "DAPHNE",
        "middle_name": "KAREN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-09-14",
        "last_updated": "2020-09-11",
        "certification_date": "2020-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "AR",
            "license": "E-9013",
            "primary": true
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "AR",
            "license": "E-9013",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Smith, AR

Sources for this page

Verify at the official NPI Registry.