Individual provider Active NPI

Mark Gerard Viegas, M.D.

  • Family Medicine Physician
  • Little Rock, AR
National Provider Identifier
1841589017
Registry record updated Jul 22, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
E-8628 Issued in AR
Practice address
1100 N University Ave Ste 1
Little Rock, AR 72207-6348
Phone
(501) 664-2500
NPI assigned
Mar 28, 2011
Last updated
Jul 22, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2015

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 E-8628 AR Primary

Addresses

Primary practice location

1100 N University Ave Ste 1
Little Rock, AR 72207-6348

Mailing address

1100 N University Ave Ste 1
Little Rock, AR 72207-6348
Phone (501) 664-2500

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
I20150504002041 AR Practitioner - Family Practice 4385968130 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Bridgeway LLCGroup PAC ID 7113819376, 6 clinicians

Practice addresses (Care Compare)

21 Bridgeway Rd
N Little Rock, AR 72113-9514
Phone (501) 771-1500

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
The Bridgeway, LLC CurrentSince Jul 1, 2016 Accepting new patients

Locations

21 Bridgeway Rd
North Little Rock, AR 72113
Phone (501) 771-1500

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1301270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1437523200000",
    "number": "1841589017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 N UNIVERSITY AVE STE 1",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722076348",
            "telephone_number": "501-664-2500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 N UNIVERSITY AVE STE 1",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722076348",
            "telephone_number": "501-664-2500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VIEGAS",
        "first_name": "MARK",
        "middle_name": "GERARD",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-03-28",
        "last_updated": "2015-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AR",
            "license": "E-8628",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Little Rock, AR

Sources for this page

Verify at the official NPI Registry.