Active NPI
Joe Lee Buford, MD
- General Practice Physician
- North Little Rock, AR
National Provider Identifier
1942360052
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- C5376
- Practice address
- 410 W Pershing Blvd
North Little Rock, AR 72114-2146 - Phone
- (501) 771-0674
- Fax
- (501) 753-4147
- NPI assigned
- Dec 11, 2006
- Last updated
- Dec 20, 2013
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Primary Care Clinic/Center | 261QP2300X | C5376 | AR | |
| General Practice Physician | 208D00000X | C5376 | AR | Primary |
Addresses
Primary practice location
410 W Pershing Blvd
North Little Rock, AR 72114-2146
Mailing address
410 W Pershing Blvd
North Little Rock, AR 72114-2146
Phone (501) 771-0674
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 57813 | Other | AR | PTAN |
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)
- Not enrolled
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C5376 | AR | MD | Primary Care Clinic/Center |
Organizations & group practices 1
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.
-
- Family Medicine Physician
- North Little Rock, AR
- NPI 1215177985
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165795200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1387497600000",
"number": "1942360052",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "410 W PERSHING BLVD",
"city": "NORTH LITTLE ROCK",
"state": "AR",
"postal_code": "721142146",
"telephone_number": "501-771-0674",
"fax_number": "501-753-4147"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "410 W PERSHING BLVD",
"city": "NORTH LITTLE ROCK",
"state": "AR",
"postal_code": "721142146",
"telephone_number": "501-771-0674",
"fax_number": "501-753-4147"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUFORD",
"first_name": "JOE",
"middle_name": "LEE",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-12-11",
"last_updated": "2013-12-20",
"status": "A"
},
"taxonomies": [
{
"code": "261QP2300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Primary Care",
"state": "AR",
"license": "C5376",
"primary": false
},
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "AR",
"license": "C5376",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PTAN",
"identifier": "57813",
"state": "AR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in North Little Rock, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.