Broderick Eaton, DO

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

E-9395 Issued in AR

Practice address

601 Julia Ave E
Wynne, AR 72396-3506

Phone

(870) 238-0377

NPI assigned

May 3, 2014

Last updated

Jul 21, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AR, MS, KY3 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 3

Specialty

Family Practice

Education

William Carey University College of Osteopathic Medicine, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

ArcareGroup PAC ID 2567370620, shared by 102 NPIs, 249 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Legacy Hospice, Inc Hospice, Osceola, AR, CCN 041568
• Crossridge Community Hospital Hospital, Wynne, AR, CCN 041307

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: brody.eaton@arcare.directbygreenway.com

All facility ownership & control disclosures 95

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 95

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Arcare

  dba ARcare28

  • Federally Qualified Health Center (FQHC)
  • Batesville, AR
  • NPI 1003406455

  Corporate Director

  CMS ownership
• Arcare

  • Federally Qualified Health Center (FQHC)
  • Mountain Home, AR
  • NPI 1023981834

  Corporate Officer

  CMS ownership
• Arcare

  dba ARcare49

  • Federally Qualified Health Center (FQHC)
  • Hot Springs, AR
  • NPI 1033773932

  Corporate Director

  CMS ownership
• Arcare

  dba ARcare 99

  • Federally Qualified Health Center (FQHC)
  • Atkins, AR
  • NPI 1033928148

  Corporate Director

  CMS ownership
• Arcare

  dba ARcare 41

  • Federally Qualified Health Center (FQHC)
  • Batesville, AR
  • NPI 1053676718

  Corporate Director

  CMS ownership
• Arcare

  dba ARcare96

  • Federally Qualified Health Center (FQHC)
  • Fayetteville, AR
  • NPI 1063260669

  Corporate Director

  CMS ownership
• Arcare

  dba ARcare135

  • Federally Qualified Health Center (FQHC)
  • Pea Ridge, AR
  • NPI 1073144028

  Corporate Director

  CMS ownership
• Arcare

  dba ARcare 25

  • Federally Qualified Health Center (FQHC)
  • Parkin, AR
  • NPI 1083675524

  Corporate Director

  CMS ownership
• Arcare

  dba ARcare91

  • Federally Qualified Health Center (FQHC)
  • North Little Rock, AR
  • NPI 1093563694

  Corporate Director

  CMS ownership
• Arcare

  dba ARcare32

  • Federally Qualified Health Center (FQHC)
  • Maumelle, AR
  • NPI 1104469832

  Corporate Director

  CMS ownership
• Arcare

  dba ARcare92

  • Federally Qualified Health Center (FQHC)
  • Russellville, AR
  • NPI 1154179752

  Corporate Director

  CMS ownership
• Arcare

  dba ARcare 20

  • Federally Qualified Health Center (FQHC)
  • Cotton Plant, AR
  • NPI 1154382844

  Corporate Director

  CMS ownership

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.

• Arcare

  • Federally Qualified Health Center (FQHC)
  • Augusta, AR
  • NPI 1275635542

  MS

  Medicare reassignment NPD
• Arcare

  dba KentuckyCare

  • Federally Qualified Health Center (FQHC)
  • Bardwell, KY
  • NPI 1669765038
  Medicare reassignment NPD
• Urgent Team of Arkansas Physicians, LLC

  • Rural Health Clinic/Center
  • Searcy, AR
  • NPI 1992041370
  Medicare reassignment
• Arcare

  dba ARcare 16

  • Federally Qualified Health Center (FQHC)
  • Bald Knob, AR
  • NPI 1710948419
  NPD
• Arcare

  dba ARcare97

  • Federally Qualified Health Center (FQHC)
  • Jacksonville, AR
  • NPI 1821802729
  NPD
• Arcare

  dba ARcare 70

  • Federally Qualified Health Center (FQHC)
  • Brinkley, AR
  • NPI 1669433363
  NPD (past)

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

• Legacy Hospice, LLC

  dba Legacy Hospice

  • Community Based Hospice Care Agency
  • Osceola, AR
  • NPI 1033238241
  Care Compare affiliation
• St Bernard Community Hospital Corporation

  • Critical Access Hospital
  • Wynne, AR
  • NPI 1962410183
  Care Compare affiliation

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

{
    "created_epoch": "1399075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1992115646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 497",
            "city": "AUGUSTA",
            "state": "AR",
            "postal_code": "720060497",
            "telephone_number": "870-347-3475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 JULIA AVE E",
            "city": "WYNNE",
            "state": "AR",
            "postal_code": "723963506",
            "telephone_number": "870-238-0377"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "223 E Jackson Ave",
            "address_purpose": "LOCATION",
            "city": "Jonesboro",
            "state": "AR",
            "postal_code": "724013119",
            "country_code": "US",
            "telephone_number": "870-972-0063",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EATON",
        "first_name": "BRODERICK",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-05-03",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AR",
            "license": "E-9395",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "214324003",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cameron Mitchell Duke, MD
• Ashley Duncan, APRN
• Hannah Eans
• Cynthia R Easley, SPEECH PATHOLOGIST
• Anna Lilly Eaton
• William David Eidt, LPC
• Lisa Ellis, PTA
• Kristina R Eppes, RPH
• Evergreene Properties of North Carolina, LLC (Crestpark Inn of Wynne)
• Lisa G Fancher, PD

• Family Medicine Physician in Wynne, AR
• Providers in Wynne, 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 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.