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

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

Organization subpart

No

Name

Brenda Ketcher, M.D.

Title

Owner

Phone

(501) 623-7800

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 6, 2014.

{
    "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": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "126541001",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "5J570",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Deneice M Brannan, CRNA
• Kori Brannan, PA
• Bridgett N Brantley, APRN
• James R Braun, MD
• Tara Brawner, RT
• Deborah Kay Breshears, RN
• Robert E Breving Jr., M.D.
• Brooks E Brewer, PT
• Jennifer Brewer
• Briann Li Mandri Aprn PLLC

• All providers in Hot Springs, AR
• Gastroenterology Physician in Arkansas

• 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.