NPIMap

Individual provider Active NPI

Brandy N Anderson, APRN

  • Family Nurse Practitioner
  • Hardy, AR
National Provider Identifier
1902382799
Registry record updated Jul 14, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
A005780 Issued in AR
Practice address
101 W Main St
Hardy, AR 72542-9566
Phone
(870) 856-2100
Fax
(870) 994-7488
NPI assigned
Jul 14, 2018
Last updated
Jul 14, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X A005780 AR Primary

Addresses

Primary practice location

101 W Main St
Hardy, AR 72542-9566

Mailing address

101 W Main St
Hardy, AR 72542-9566
Phone (870) 856-2100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180730001870 AR Practitioner - Nurse Practitioner 9638427255 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sycamore Springs Senior Living, LLCGroup PAC ID 1456708999, 12 clinicians
Bradley Bibb MD PLLCGroup PAC ID 4789715285, 71 clinicians

Practice addresses (Care Compare)

14 Medical PLZ
Suite 2
Mountain Home, AR 72653-2919
Phone (870) 232-5315

4196 Hwy 62 412
Suite a
Hardy, AR 72542-8002
Phone (870) 994-7301

49 Hwy 62 412
Ash Flat, AR 72513-9594
Phone (870) 994-7301

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Bradley Bibb MD PLLC CurrentSince Jul 15, 2018 Accepting new patients
Sycamore Springs Senior Living, LLC CurrentSince Jan 1, 2026 Accepting new patients
Bradley Bibb MD PLLC Current Accepting new patients
Bradley Bibb MD PLLC CurrentSince Jul 15, 2018 Accepting new patients
Ozarks Medical Center Past Accepting new patients

Locations

101 W Main St
Hardy, AR 72542
Phone (870) 856-2100

4196 Highway 62 412
#A
Hardy, AR 72542
Phone (870) 856-2100

14 Medical Plz
Ste 2
Mountain Home, AR 72653
Phone (870) 232-5315

3809 E 9th St
Ste 15
Texarkana, AR 71854
Phone (870) 621-0080

Organizations & group practices 5

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.

Hospital & facility affiliations 16

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1531526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531526400000",
    "number": "1902382799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 W MAIN ST",
            "city": "HARDY",
            "state": "AR",
            "postal_code": "725429566",
            "telephone_number": "870-856-2100",
            "fax_number": "870-994-7488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 W MAIN ST",
            "city": "HARDY",
            "state": "AR",
            "postal_code": "725429566",
            "telephone_number": "870-856-2100",
            "fax_number": "870-994-7488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "BRANDY",
        "middle_name": "N",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-14",
        "last_updated": "2018-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AR",
            "license": "A005780",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hardy, AR

Sources for this page

Verify at the official NPI Registry.