Organization Active NPI

V. Bryan Perry MD PA

  • Clinic/Center
  • Pine Bluff, AR
National Provider Identifier
1861729311
Registry record updated Feb 26, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
C2651 Issued in AR
Legal business name
V. BRYAN PERRY MD PA
Practice address
1722 W 42ND Ave
Pine Bluff, AR 71603-7008
Phone
(870) 535-4141
Fax
(870) 535-9180
NPI assigned
Nov 4, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2010

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

Authorized official

Name
Dr. Virgil Bryan Perry, MD PA
Title
Phy/Owner
Phone
(870) 535-4141

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X C2651 AR Primary

Addresses

Primary practice location

1722 W 42ND Ave
Pine Bluff, AR 71603-7008

Mailing address

1722 W 42ND Ave
Pine Bluff, AR 71603-7008
Phone (870) 535-4141

National Provider Directory

National Provider Directory

Locations

1722 W 42nd Ave
Pine Bluff, AR 71603
Phone (870) 535-4141

NPI Registry JSON

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

{
    "created_epoch": "1257292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1267142400000",
    "number": "1861729311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1722 W 42ND AVE",
            "city": "PINE BLUFF",
            "state": "AR",
            "postal_code": "716037008",
            "telephone_number": "870-535-4141",
            "fax_number": "870-535-9180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1722 W 42ND AVE",
            "city": "PINE BLUFF",
            "state": "AR",
            "postal_code": "716037008",
            "telephone_number": "870-535-4141",
            "fax_number": "870-535-9180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "V. BRYAN PERRY MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-04",
        "last_updated": "2010-02-26",
        "status": "A",
        "authorized_official_last_name": "PERRY",
        "authorized_official_first_name": "VIRGIL",
        "authorized_official_middle_name": "BRYAN",
        "authorized_official_title_or_position": "PHY/OWNER",
        "authorized_official_telephone_number": "870-535-4141",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD PA"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "AR",
            "license": "C2651",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pine Bluff, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.