NPIMap

Individual provider Active NPI

Wayne L Bruffett, M.D.

  • Orthopaedic Surgery of the Spine Physician
  • North Little Rock, AR
National Provider Identifier
1952389280
Registry record updated Jul 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery of the Spine PhysicianTaxonomy code 207XS0117X
License
E-0263 Issued in AR
Practice address
4261 Stockton Dr Ste 100
North Little Rock, AR 72117-2916
Phone
(501) 526-7219
Fax
(501) 526-7201
NPI assigned
Jan 6, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X E-0263 AR
Orthopaedic Surgery of the Spine Physician 207XS0117X E-0263 AR Primary

Addresses

Primary practice location

4261 Stockton Dr Ste 100
North Little Rock, AR 72117-2916

Mailing address

4301 W Markham St # 783
Little Rock, AR 72205-7101
Phone (501) 686-8000

Other practice location 1

800 Fair Park Blvd
Little Rock, AR 72204
Phone (501) 663-3647

Other identifiers 2

IdentifierTypeStateIssuer
129301001MedicaidAR
5K023C207OtherARPTAN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040629001576 AR Practitioner - Orthopedic Surgery 5698751550 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Baylor College of Medicine, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University of Arkansas for Medical SciencesGroup PAC ID 4082528955, shared by 29 NPIs, 1,159 clinicians

Practice addresses (Care Compare)

1 Childrens Way
Suite 653
Little Rock, AR 72202-3571
Phone (501) 364-1100

4301 W Markam St
Little Rock, AR 72205-7101
Phone (501) 686-8000

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion352
Laminectomy or laminotomy (partial removal of spine bones)88
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
E-0263ARMDOrthopaedic Surgery of the Spine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Orthoarkansas, PA CurrentSince Aug 1, 1999 Accepting new patients
Arkansas Children's Hospital CurrentSince Jul 1, 2023 Accepting new patients
Orthoarkansas, PA CurrentSince Aug 1, 1999 Accepting new patients
University of Arkansas for Medical Sciences Orthopaedic Surgery CurrentSince Jul 1, 2023 Accepting new patients
Arkansas Childrens Hospital CurrentSince Jul 1, 2023 Accepting new patients
University of Arkansas for Medical Sciences CurrentSince Jul 1, 2023 Accepting new patients
University of Arkansas for Medical Sciences CurrentSince Jul 1, 2023 Accepting new patients

Locations

353 Cash Rd SW
Camden, AR 71701
Phone (870) 836-8101

800 Fair Park Blvd
Little Rock, AR 72204
Phone (501) 404-8007

1 Childrens Way
Ste 653
Little Rock, AR 72202

4301 W Markham St
Little Rock, AR 72205
Phone (501) 603-1278

1 Childrens Way
#653
Little Rock, AR 72202
Phone (501) 614-2006

1 Childrens Way
Little Rock, AR 72202
Phone (501) 364-1874

4301 W Markham St
#783
Little Rock, AR 72205
Phone (501) 603-1278

3480 Landers Rd
North Little Rock, AR 72117
Phone (501) 955-5519

4261 Stockton Dr
Ste 100
North Little Rock, AR 72117
Phone (501) 526-1046

1525 Country Club Rd
Sherwood, AR 72120
Phone (501) 758-1530

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

Hospital & facility affiliations 18

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1136505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690761600000",
    "number": "1952389280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4301 W MARKHAM ST # 783",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722057101",
            "telephone_number": "501-686-8000",
            "fax_number": "501-526-5148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4261 STOCKTON DR STE 100",
            "city": "NORTH LITTLE ROCK",
            "state": "AR",
            "postal_code": "721172916",
            "telephone_number": "501-526-7219",
            "fax_number": "501-526-7201"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "800 FAIR PARK BLVD",
            "address_purpose": "LOCATION",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "72204",
            "country_code": "US",
            "telephone_number": "501-663-3647",
            "fax_number": "501-663-7931",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRUFFETT",
        "first_name": "WAYNE",
        "middle_name": "L",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-06",
        "last_updated": "2023-07-31",
        "certification_date": "2023-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "AR",
            "license": "E-0263",
            "primary": false
        },
        {
            "code": "207XS0117X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": "AR",
            "license": "E-0263",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "129301001",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "5K023C207",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North Little Rock, AR

Sources for this page

Verify at the official NPI Registry.