Active NPI
Burton Bledsoe, MD
- Hospitalist Physician
- Springdale, AR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospitalist Physician
- License
- E-1516
- Practice address
- 609 W Maple Ave
Springdale, AR 72764-5335 - Phone
- (479) 757-5282
- Fax
- (479) 751-2977
- NPI assigned
- Jun 1, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | E1516 | AR | |
| Hospitalist Physician | 208M00000X | E-1516 | AR | Primary |
Addresses
Primary practice location
609 W Maple Ave
Springdale, AR 72764-5335
Mailing address
601 W Maple Ave
Suite 704
Springdale, AR 72764-5335
Phone (479) 757-5282
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 134131001 | Medicaid | AR |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100708000309 | AR | Practitioner - Internal Medicine | 1850348574 | Reassigns benefits to 3 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- University of Texas Medical School at San Antonio, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Springdale Bentonville HBP Services LLC
Practice addresses (Care Compare)
3000 Medical Ctr Pkwy
Bentonville, AR 72712-3217
Phone (479) 553-1000
Hospital & facility affiliations
- Northwest Medical Center-Springdale
- Siloam Springs Regional Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E-1516 | AR | MD | Hospitalist Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ies HSP Arkansas PLLC | Hospitalist | Current | Accepting new patients |
| Northwest Benton County Physician Services LLC | Current | Accepting new patients | |
| Springdale- Bentonville HBP Services, LLC | Hospitalist | Current | Accepting new patients |
| Northwest Arkansas Hospitals, LLC | Past | Accepting new patients | |
| QHG of Springdale Inc | Past | Accepting new patients |
Locations
3000 Medical Center Pkwy
Bentonville, AR 72712
Phone (479) 553-2524
101 Sun Meadow Dr
Centerton, AR 72719
Phone (479) 273-1426
700 W Grove St
El Dorado, AR 71730
Phone (870) 863-2200
3873 N Parkview Dr
Fayetteville, AR 72703
Phone (479) 527-0050
603 N Progress Ave
Siloam Springs, AR 72761
Phone (479) 215-3000
4301 Willow Creek Dr
Springdale, AR 72762
Phone (479) 684-3104
601 W Maple Ave
Ste 704
Springdale, AR 72764
Phone (479) 521-2752
609 W Maple Ave
Springdale, AR 72764
Phone (479) 751-5711
803 Quandt Ave
Springdale, AR 72764
Phone (479) 751-9236
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Neonatal-Perinatal Medicine Physician
- Bentonville, AR
- NPI 1811762701
AR, Hospitalist
-
- Family Medicine Physician
- Bentonville, AR
- NPI 1871553073
AR
-
- General Acute Care Hospital
- Springdale, AR
- NPI 1699726695
-
- Neonatal-Perinatal Medicine Physician
- Springdale, AR
- NPI 1730292434
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Springdale, AR
- NPI 1699726695
Hospital
-
- General Acute Care Hospital
- Siloam Springs, AR
- NPI 1902051816
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149120000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1364860800000",
"number": "1992742522",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "601 W MAPLE AVE",
"address_2": "SUITE 704",
"city": "SPRINGDALE",
"state": "AR",
"postal_code": "727645335",
"telephone_number": "479-757-5282",
"fax_number": "479-757-2977"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "609 W MAPLE AVE",
"city": "SPRINGDALE",
"state": "AR",
"postal_code": "727645335",
"telephone_number": "479-757-5282",
"fax_number": "479-751-2977"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLEDSOE",
"first_name": "BURTON",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-01",
"last_updated": "2013-04-02",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "AR",
"license": "E1516",
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "AR",
"license": "E-1516",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "134131001",
"state": "AR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Springdale, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; 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.