NPIMap

Individual provider Active NPI

Jeffrey C Bearden, MD

  • Family Medicine Physician
  • Fayetteville, AR
National Provider Identifier
1992768105
Registry record updated Dec 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
C8415 Issued in AR
Practice address
1708 E Joyce Blvd Ste 2
Fayetteville, AR 72703-5250
Phone
(479) 222-1144
Fax
(833) 973-4866
NPI assigned
Apr 10, 2006
Last updated
Dec 4, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X C8415 AR Primary

Addresses

Primary practice location

1708 E Joyce Blvd Ste 2
Fayetteville, AR 72703-5250

Mailing address

1708 E Joyce Blvd Ste 2
Fayetteville, AR 72703-5250
Phone (479) 222-1144

Other identifiers 1

IdentifierTypeStateIssuer
124605001MedicaidAR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090409000179 AR Practitioner - Family Practice 8426105461 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Rooted Family Care PLLCGroup PAC ID 3072046705, 3 clinicians

Practice addresses (Care Compare)

1708 E Joyce Blvd
Suite 2
Fayetteville, AR 72703-5250
Phone (479) 222-1144

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
87.5 of 100Reported as apm
Quality
69.34
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Siloam Springs Clinic Company LLC Family Medicine CurrentSince Jan 8, 2015 Accepting new patients
Northwest Physicians LLC CurrentSince Dec 1, 2008 Accepting new patients
Northwest Physicians LLC CurrentSince Dec 1, 2008 Accepting new patients
Rooted Family Care PLLC Family Medicine CurrentSince Nov 15, 2024 Accepting new patients
Northwest Benton County Physician Services LLC Family Medicine CurrentSince May 1, 2009 Accepting new patients

Locations

101 Sun Meadow Dr
Centerton, AR 72719
Phone (479) 273-1426

1708 E Joyce Blvd
Ste 2
Fayetteville, AR 72703
Phone (479) 222-1144

603 N Progress Ave
Siloam Springs, AR 72761
Phone (479) 215-3000

601 W Maple Ave
Ste 403
Springdale, AR 72764
Phone (479) 750-2742

6636 W Sunset Ave
Ste A
Springdale, AR 72762
Phone (479) 306-4242

Interoperability endpoints

  • Direct secure messaging: jeffrey.bearden.1@32092.direct.athenahealth.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

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

NPI Registry JSON

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

{
    "created_epoch": "1144627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733270400000",
    "number": "1992768105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1708 E JOYCE BLVD STE 2",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727035250",
            "telephone_number": "479-222-1144",
            "fax_number": "833-973-4866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1708 E JOYCE BLVD STE 2",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727035250",
            "telephone_number": "479-222-1144",
            "fax_number": "833-973-4866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEARDEN",
        "first_name": "JEFFREY",
        "middle_name": "C",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-10",
        "last_updated": "2024-12-04",
        "certification_date": "2024-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AR",
            "license": "C8415",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "124605001",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, AR

Sources for this page

Verify at the official NPI Registry.