Brent V. Witherington, M.D. P. a.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

BRENT V. WITHERINGTON, M.D. P. A.

Practice address

3103 Alma Hwy
Van Buren, AR 72956-5027

Phone

(479) 474-4483

NPI assigned

Apr 22, 2022

Organization subpart

No

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

Authorized official

Name

Dr. Brent V. Witherington, M.D.

Title

President

Phone

(501) 680-8963

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1650585600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658880000000",
    "number": "1972247211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11701 SOUTHCREST DR",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729169341",
            "telephone_number": "501-680-8963"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3103 ALMA HWY",
            "city": "VAN BUREN",
            "state": "AR",
            "postal_code": "729565027",
            "telephone_number": "479-474-4483"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3103 Alma Hwy",
            "address_purpose": "LOCATION",
            "city": "Van Buren",
            "state": "AR",
            "postal_code": "729565027",
            "country_code": "US",
            "telephone_number": "479-474-4483",
            "fax_number": "479-262-5041",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BRENT V. WITHERINGTON, M.D. P. A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-22",
        "last_updated": "2022-07-27",
        "certification_date": "2022-07-27",
        "status": "A",
        "authorized_official_last_name": "WITHERINGTON",
        "authorized_official_first_name": "BRENT",
        "authorized_official_middle_name": "V.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "501-680-8963",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Megan Boster
• Elizabeth Lynn-Marie Boudreaux, MHPP
• Laura Irene Bourlon
• Adam Boyd
• Cherie Brasuell, PTA
• Chyanne Brickell
• Chloe Britt
• Brooks Speech Language Therapy Services
• Sydney Brooks, CCC-SLP
• Emily Brown

• Family Medicine Physician in Van Buren, AR
• Providers in Van Buren, AR by specialty
• Family Medicine Physician in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2022; 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.