Active NPI
Fredrick Anthony Bennett, M.D.
- Interventional Cardiology Physician
- Little Rock, AR
National Provider Identifier
1932143088
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Cardiology Physician
- License
- C4453
- Practice address
- 10100 Kanis Rd
Little Rock, AR 72205-6202 - Phone
- (501) 255-6000
- Fax
- (501) 255-6400
- NPI assigned
- Jun 16, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | C4453 | AR | |
| Interventional Cardiology Physician | 207RI0011X | C4453 | AR | Primary |
Addresses
Primary practice location
10100 Kanis Rd
Little Rock, AR 72205-6202
Mailing address
10100 Kanis Rd
Little Rock, AR 72205-6202
Phone (501) 255-6000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 89T025 | Other | AR | MALPRACTICE INSURANCE |
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
| License | State | Type | Specialty |
|---|---|---|---|
| C4453 | AR | MD | Cardiovascular Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St. Vincent Infirmary Medical Center | Current | Accepting new patients | |
| Heart Clinic Arkansas | Cardiovascular Disease | Current | Accepting new patients |
| St Vincent Physician Clinics LLC | Past | Accepting new patients | |
| Ozarks Medical Center | Past | Accepting new patients | |
| Saline Physician Services, LLC | Past | Accepting new patients | |
| St. Vincent Medical Group | Cardiovascular Disease | Past | Accepting new patients |
| Baptist Health | Cardiovascular Disease | Past | Accepting new patients |
Locations
10100 Kanis Rd
Little Rock, AR 72205
Phone (501) 255-6000
2 Saint Vincent Cir
Little Rock, AR 72205
Phone (501) 552-2680
Organizations & group practices 7
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.
-
- Cardiovascular Disease Physician
- Little Rock, AR
- NPI 1053367508
-
- General Acute Care Hospital
- Little Rock, AR
- NPI 1144590522
-
- Cardiovascular Disease Physician
- Little Rock, AR
- NPI 1578593067
-
- Internal Medicine Physician
- Bryant, AR
- NPI 1144559287
-
- Family Medicine Physician
- Little Rock, AR
- NPI 1134558398
-
- Family Medicine Physician
- Little Rock, AR
- NPI 1134176480
Cardiovascular Disease
-
- General Acute Care Hospital
- West Plains, MO
- NPI 1831115641
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150416000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1932143088",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10100 KANIS RD",
"city": "LITTLE ROCK",
"state": "AR",
"postal_code": "722056202",
"telephone_number": "501-255-6000",
"fax_number": "501-255-6400"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10100 KANIS RD",
"city": "LITTLE ROCK",
"state": "AR",
"postal_code": "722056202",
"telephone_number": "501-255-6000",
"fax_number": "501-255-6400"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BENNETT",
"first_name": "FREDRICK",
"middle_name": "ANTHONY",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-16",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "AR",
"license": "C4453",
"primary": false
},
{
"code": "207RI0011X",
"taxonomy_group": "",
"desc": "Internal Medicine, Interventional Cardiology",
"state": "AR",
"license": "C4453",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MALPRACTICE INSURANCE",
"identifier": "89T025",
"state": "AR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Little Rock, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.