NPIMap

Organization Active NPI

Brogdon-Prince Management Company, LLC

Doing business as Grow Learning Centre of Benton

  • Developmental Disabilities Clinic/Center
  • Benton, AR
National Provider Identifier
1982361226
Registry record updated Nov 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmental Disabilities Clinic/CenterTaxonomy code 261QD1600X
Legal business name
BROGDON-PRINCE MANAGEMENT COMPANY, LLC
Doing business as
Grow Learning Centre of Benton
Practice address
3214 Winchester
Benton, AR 72015-2929
Phone
(501) 794-6482
Fax
(501) 794-6483
NPI assigned
Nov 22, 2021
Last updated
Nov 22, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2021

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

Authorized official

Name
William Sims, M.ED.NPI 1295946382
Title
VP of Operations
Phone
(501) 850-8788

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Developmental Disabilities Clinic/Center 261QD1600X Primary
Physical Therapist 225100000X
Occupational Therapist 225X00000X
Speech-Language Pathologist 235Z00000X

Addresses

Primary practice location

3214 Winchester
Benton, AR 72015-2929

Mailing address

5 Remington CV
Little Rock, AR 72204-8274
Phone (501) 850-8788

Other names 1

  • Grow Learning Centre of Benton Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Brogdon-Prince Management Company LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 11

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1637539200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1637539200000",
    "number": "1982361226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 REMINGTON CV",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722048274",
            "telephone_number": "501-850-8788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3214 WINCHESTER",
            "city": "BENTON",
            "state": "AR",
            "postal_code": "720152929",
            "telephone_number": "501-794-6482",
            "fax_number": "501-794-6483"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROGDON-PRINCE MANAGEMENT COMPANY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-22",
        "last_updated": "2021-11-22",
        "certification_date": "2021-11-10",
        "status": "A",
        "authorized_official_last_name": "SIMS",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "VP OF OPERATIONS",
        "authorized_official_telephone_number": "501-850-8788",
        "authorized_official_credential": "M.ED."
    },
    "taxonomies": [
        {
            "code": "261QD1600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Grow Learning Centre of Benton",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Benton, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2021; 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.