BROCK HARRISON WRINKLES PA NPI 1558809475

NPI Information

NPI: 1558809475
Provider Name: BROCK HARRISON WRINKLES, PA
Classification: Family Medicine - 207QA0401X
Entity Type: Individual

Specialization: Addiction Medicine

Address:
1801 CENTRAL AVE STE A
HOT SPRINGS, AR
ZIP 71901
Phone: (501) 623-5598
Get Directions

Brock Harrison Wrinkles, PA is an addiction medicine family medicine in Hot Springs, AR. The provider is a family medicine physician who specializes in the diagnosis and treatment of addictions. Brock Harrison Wrinkles, PA NPI is 1558809475. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1801 CENTRAL AVE STE A
HOT SPRINGS, AR
ZIP 71901-800
Phone: (501) 623-5598
Fax: (501) 623-5516

The enumeration date for this NPI number is 2/11/2017 and was last updated on 3/21/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363AM0700X	Physician Assistant	Medical	PT2017-010	ARKANSAS	No
2	207QA0401X	Family Medicine	Addiction Medicine	PA-720	ARKANSAS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1139067	OTHER		NCCPA
2	PA-720	OTHER	ARKANSAS	ARKANSAS STATE MEDICAL BOARD

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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