NPIMap

Individual provider Active NPI

Brent Martell Lawrence, MD

  • Orthopaedic Surgery Physician
  • Conway, AR
National Provider Identifier
1992966295
Registry record updated Nov 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
E8177 Issued in AR
Practice address
800 Exchange Ave Ste 102B
Conway, AR 72032-7833
Phone
(501) 504-6994
Fax
(501) 504-6985
NPI assigned
Jun 19, 2008
Last updated
Nov 21, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X E8177 AR Primary

Addresses

Primary practice location

800 Exchange Ave Ste 102B
Conway, AR 72032-7833

Mailing address

800 Exchange Ave Ste 102B
Conway, AR 72032-7833
Phone (501) 504-6994

Other identifiers 3

IdentifierTypeStateIssuer
206117001MedicaidAR
370913ZG8EOtherMEDICARE PTAN
5I434OtherARBCBS

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
I20141024000287 AR Practitioner - Orthopedic Surgery 7012138621 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
University of Arkansas College of Medicine, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fands Physical Therapy, IncGroup PAC ID 7810898459, 217 clinicians
Arkansas Healthcare Services LLCGroup PAC ID 9335134402, 19 clinicians

Practice addresses (Care Compare)

1414 Hwy 71 N
Alma, AR 72921-4723
Phone (479) 632-0321

1900 Malvern Ave
Suite 201
Hot Springs, AR 71901-7777
Phone (501) 623-6455

1910 Malvern Ave
Hot Springs, AR 71901-7752
Phone (501) 625-3400

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement16
Knee replacement29
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Upper limb (arm) arthroscopy (minimally invasive joint repair)24
Removal of tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
E8177ARMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Arkansas Healthcare Services LLC Orthopaedic Surgery CurrentSince Jun 15, 2020 Accepting new patients
Arkansas Surgical Hospital, LLC CurrentSince Aug 31, 2018 Accepting new patients
Arkansas Surgical Hospital, LLC Orthopaedic Surgery CurrentSince Aug 31, 2018 Accepting new patients
Saline Clinics LLC Orthopaedic Surgery Past Accepting new patients

Locations

800 Exchange Ave
Ste 102B
Conway, AR 72032
Phone (501) 504-6994

104 Hollywood Ave
Hot Springs National Park, AR 71901
Phone (501) 321-0555

1900 Malvern Ave
Hot Springs National Park, AR 71901
Phone (501) 624-0123

121 Cordoba Center Dr
Ste 400
Hot Springs Village, AR 71909
Phone (501) 915-0837

5201 Northshore Dr
Ste 300
North Little Rock, AR 72118
Phone (501) 748-8000

Interoperability endpoints

  • Direct secure messaging: brent.lawrence.1@2554.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/16686/brand/1/csg/1/fhir/r4
  • FHIR API: https://api.platform.athenahealth.com/2554/brand/4/csg/1/fhir/r4

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 9

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": "1213833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574294400000",
    "number": "1992966295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 EXCHANGE AVE STE 102B",
            "city": "CONWAY",
            "state": "AR",
            "postal_code": "720327833",
            "telephone_number": "501-504-6994",
            "fax_number": "501-504-6985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 EXCHANGE AVE STE 102B",
            "city": "CONWAY",
            "state": "AR",
            "postal_code": "720327833",
            "telephone_number": "501-504-6994",
            "fax_number": "501-504-6985"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAWRENCE",
        "first_name": "BRENT",
        "middle_name": "MARTELL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-19",
        "last_updated": "2019-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "AR",
            "license": "E8177",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "206117001",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "370913ZG8E",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "5I434",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Conway, AR

Sources for this page

Verify at the official NPI Registry.