NPIMap

Organization Active NPI

Westbrook Medical Clinic PA

  • Family Medicine Physician
  • Ozark, AR
National Provider Identifier
1982733937
Registry record updated Apr 20, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
C5021 Issued in AR
Legal business name
WESTBROOK MEDICAL CLINIC PA
Practice address
107 N 9TH St
Ozark, AR 72949-2796
Phone
(479) 667-2923
Fax
(479) 667-2857
NPI assigned
Mar 5, 2007
Last updated
Apr 20, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2010

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

Authorized official

Name
Michael R Westbrook, MD
Title
Owner
Phone
(479) 667-2923

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X C5021 AR Primary

Addresses

Primary practice location

107 N 9TH St
Ozark, AR 72949-2796

Mailing address

107 N 9TH St
Ozark, AR 72949-2796
Phone (479) 667-2923

Other identifiers 1

IdentifierTypeStateIssuer
127408002MedicaidAR

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1173052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1271721600000",
    "number": "1982733937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 N 9TH ST",
            "city": "OZARK",
            "state": "AR",
            "postal_code": "729492796",
            "telephone_number": "479-667-2923",
            "fax_number": "479-667-2857"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 N 9TH ST",
            "city": "OZARK",
            "state": "AR",
            "postal_code": "729492796",
            "telephone_number": "479-667-2923",
            "fax_number": "479-667-2857"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTBROOK MEDICAL CLINIC PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-05",
        "last_updated": "2010-04-20",
        "status": "A",
        "authorized_official_last_name": "WESTBROOK",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "479-667-2923",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AR",
            "license": "C5021",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "127408002",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ozark, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2010; 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.