Organization Active NPI

Brenda Ketcher, M.D.,P.a.

  • Gastroenterology Physician
  • Hot Springs, AR
National Provider Identifier
1891995452
Registry record updated Aug 6, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
C8125 Issued in AR
Legal business name
BRENDA KETCHER, M.D.,P.A.
Practice address
124 Sawtooth Oak St
Hot Springs, AR 71901-7160
Phone
(501) 623-7800
Fax
(501) 623-7866
NPI assigned
Jul 23, 2007
Last updated
Aug 6, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2014

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

Authorized official

Name
Brenda Ketcher, M.D.NPI 1588666143
Title
Owner
Phone
(501) 623-7800

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RG0100X C8125 AR Primary

Addresses

Primary practice location

124 Sawtooth Oak St
Hot Springs, AR 71901-7160

Mailing address

124 Sawtooth Oak St
Hot Springs, AR 71901-7160
Phone (501) 623-7800

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": "1185148800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1407283200000",
    "number": "1891995452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "124 SAWTOOTH OAK ST",
            "city": "HOT SPRINGS",
            "state": "AR",
            "postal_code": "719017160",
            "telephone_number": "501-623-7800",
            "fax_number": "501-623-7866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 SAWTOOTH OAK ST",
            "city": "HOT SPRINGS",
            "state": "AR",
            "postal_code": "719017160",
            "telephone_number": "501-623-7800",
            "fax_number": "501-623-7866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRENDA KETCHER, M.D.,P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-23",
        "last_updated": "2014-08-06",
        "status": "A",
        "authorized_official_last_name": "KETCHER",
        "authorized_official_first_name": "BRENDA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "501-623-7800",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "AR",
            "license": "C8125",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hot Springs, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2014; 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.