Individual provider Active NPI

Paul McConnell Bumpers Jr., MD

  • Urology Physician
  • Rogers, AR
National Provider Identifier
1922065333
Registry record updated Dec 30, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
C6578 Issued in AR
Practice address
2100 S 54TH St
Rogers, AR 72758-8169
Phone
(479) 271-7077
Fax
(479) 271-7035
NPI assigned
Apr 28, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 30, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X C6578 AR Primary

Addresses

Primary practice location

2100 S 54TH St
Rogers, AR 72758-8169

Mailing address

2100 S 54TH St
Rogers, AR 72758-8169
Phone (479) 271-7077

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C6578ARMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Health Northwest Arkansas Communities CurrentSince Jan 1, 2015 Accepting new patients
Mercy Health Northwest Arkansas Communities CurrentSince Jan 1, 2015 Accepting new patients
Mercy Health Northwest Arkansas Communities Current Accepting new patients

Locations

3101 SE 14th St
Bentonville, AR 72712
Phone (479) 631-2100

2710 S Rife Medical Ln
Rogers, AR 72758
Phone (479) 338-8000

2100 S 54th St
Rogers, AR 72758
Phone (479) 271-7007

4600 Mercy Ln
Ste 110
Springdale, AR 72762
Phone (479) 338-4400

Interoperability endpoints

  • Direct secure messaging: pbumpers1070@directa.mercy.net

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1146182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1419897600000",
    "number": "1922065333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 S 54TH ST",
            "city": "ROGERS",
            "state": "AR",
            "postal_code": "727588169",
            "telephone_number": "479-271-7077",
            "fax_number": "479-271-7035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 S 54TH ST",
            "city": "ROGERS",
            "state": "AR",
            "postal_code": "727588169",
            "telephone_number": "479-271-7077",
            "fax_number": "479-271-7035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUMPERS",
        "first_name": "PAUL",
        "middle_name": "MCCONNELL",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-28",
        "last_updated": "2014-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "AR",
            "license": "C6578",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rogers, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 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.