Organization Active NPI

Bivins Family Medicine, PA

  • Family Medicine Physician
  • Heber Springs, AR
National Provider Identifier
1841269917
Registry record updated Nov 29, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
C7660 Issued in AR
Legal business name
BIVINS FAMILY MEDICINE, PA
Practice address
101 Ely Dr
Heber Springs, AR 72543-2836
Phone
(501) 362-6000
Fax
(501) 362-6542
NPI assigned
Mar 14, 2006
Last updated
Nov 29, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2007

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

Authorized official

Name
Dr. Franklin G Bivins, MDNPI 1427038082
Title
Owner
Phone
(501) 362-6000

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X C7660 AR Primary

Addresses

Primary practice location

101 Ely Dr
Heber Springs, AR 72543-2836

Mailing address

101 Ely Dr
Heber Springs, AR 72543-2836
Phone (501) 362-6000

Other identifiers 1

IdentifierTypeStateIssuer
110131456OtherARRAILROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110112000696 AR Part B Supplier - Clinic/Group Practice 5193914737 Receives reassigned benefits from 1 practitioner
Practice locations: Heber Springs, AR

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
04D0923999Bivins Family Medicine101 Ely Drive, Heber Springs, AR 72543Provider-performed microscopyMay 21, 2027

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1142294400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196294400000",
    "number": "1841269917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 ELY DR",
            "city": "HEBER SPRINGS",
            "state": "AR",
            "postal_code": "725432836",
            "telephone_number": "501-362-6000",
            "fax_number": "501-362-6542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 ELY DR",
            "city": "HEBER SPRINGS",
            "state": "AR",
            "postal_code": "725432836",
            "telephone_number": "501-362-6000",
            "fax_number": "501-362-6542"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BIVINS FAMILY MEDICINE, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-14",
        "last_updated": "2007-11-29",
        "status": "A",
        "authorized_official_last_name": "BIVINS",
        "authorized_official_first_name": "FRANKLIN",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "501-362-6000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AR",
            "license": "C7660",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "110131456",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Heber Springs, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.