Brian W Alexander, M.D.
Individual provider Active NPI Anesthesiology Physician · Little Rock, AR
NPI 1922094846 · NPPES record last updated Dec 4, 2007
Key facts
- NPI
- 1922094846
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Anesthesiology Physician 207L00000X
- License
- C-6718 (AR)
- Practice address
- 500 S University Ave
Suite 505
Little Rock, AR 72205-5307 - Phone
- (501) 664-4532
- Fax
- (501) 663-4335
- NPI assigned
- Sep 26, 2005
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 4
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AR
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050516000253 | AR | Practitioner - Anesthesiology | 9931190618 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C-6718 | AR | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Arkansas Health Group | Anesthesiology | Current |
Accepting new patients |
| Arkansas Health Group | Current |
Accepting new patients | |
| St. Vincent Infirmary Medical Center | Anesthesiology | Past | Accepting new patients |
| Sheridan Healthcare of Arkansas PA | Anesthesiology | Past | Accepting new patients |
Locations
11001 Executive Center Dr
Ste 200
Little Rock, AR 72211
Phone (501) 812-7215
9601 Baptist Health Dr
Little Rock, AR 72205
Phone (501) 202-3995
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | C-6718 | AR | Yes |
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | C-6718 | AR |
Addresses
Primary practice location
500 S University Ave
Suite 505
Little Rock, AR 72205-5307
Mailing address
500 S University Ave
Suite 505
Little Rock, AR 72205-5307
Phone (501) 664-4532
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 050019620 | Other | AR | RAILROAD MEDICARE LRPM |
| S00841 | Other | AR | NOVASYS |
| 113861001 | Medicaid | AR | |
| 14631000020 | Other | AR | QUAL CHOICE PAIN |
| 55634 | Other | AR | BLUE CROSS BLUE SHIELD |
| 770133301 | Other | AR | ARKANSAS BREASTCARE |
| 050019623 | Other | AR | RAILROAD MEDICARE |
| 171973300 | Other | AR | US DEPT. OF LABOR OWCP |
| 71033532430 | Other | AR | QUAL CHOICE |
Other providers in Little Rock, AR
- Alex Jones Dental PA
- Albert S Alexander
- Alice P Alexander
- Ann-Marie Alexander
- Benjamin Alexander
- Brianna Alexander
- Brittany Lasha Alexander
- Carol Alexander
- Charlotte Alexander
- Jennifer C Alexander
All providers in Little Rock, AR · Anesthesiology Physician in Arkansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 4, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.