Individual provider Active NPI

Lawrence Roy Bigongiari, M.D.

  • Diagnostic Radiology Physician
  • Hope, AR
National Provider Identifier
1932104304
Registry record updated Mar 30, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
E1357 Issued in AR
Practice address
2001 S Main St
Hope, AR 71801-8124
Phone
(870) 722-2457
Fax
(870) 845-3554
NPI assigned
Jun 14, 2005
Last updated
Mar 30, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X E1357 AR Primary

Addresses

Primary practice location

2001 S Main St
Hope, AR 71801-8124

Mailing address

PO Box 611
Nashville, AR 71852-0611
Phone (870) 845-5718

Other identifiers 5

IdentifierTypeStateIssuer
5K655OtherARBLUE CROSS BLUE SHIELD
770063601OtherARBREAST CARE
P00234464OtherARRAILROAD MEDICARE
133267001MedicaidAR
17884000000OtherARQUAL CHOICE

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
E1357ARMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Virtual Radiology Associates, PLL Diagnostic Radiology PastSince May 11, 2005 Accepting new patients
Washington Regional Medical System Past Accepting new patients
Ozark Radiology Services, PLLC Diagnostic Radiology Past Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1118707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1301443200000",
    "number": "1932104304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 611",
            "city": "NASHVILLE",
            "state": "AR",
            "postal_code": "718520611",
            "telephone_number": "870-845-5718",
            "fax_number": "870-845-3554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 S MAIN ST",
            "city": "HOPE",
            "state": "AR",
            "postal_code": "718018124",
            "telephone_number": "870-722-2457",
            "fax_number": "870-845-3554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BIGONGIARI",
        "first_name": "LAWRENCE",
        "middle_name": "ROY",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-14",
        "last_updated": "2011-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "AR",
            "license": "E1357",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "5K655",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BREAST CARE",
            "identifier": "770063601",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00234464",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "133267001",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "QUAL CHOICE",
            "identifier": "17884000000",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hope, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2011; 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.