Provider Type Icon

B&T ADVANCED HEALTH PLLC NPI 1568985240


NPI Information

NPI: 1568985240
Provider Name: B&T ADVANCED HEALTH, PLLC

Doing Business As: BRYANT FAMILY MANAGED CARE

Classification: Nurse Practitioner - 363LP2300X
Entity Type: Organization

Specialization: Primary Care

CLIA Number: 04D1004762

Address:
408 OFFICE PARK DR STE 3
BRYANT, AR
ZIP 72022
Phone: 15018472835
Get Directions

B&T ADVANCED HEALTH, PLLC is a primary care nurse practitioner in Bryant, AR. B&T ADVANCED HEALTH, PLLC NPI is 1568985240. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As Bryant Family Managed Care.

The provider's business location address is:

408 OFFICE PARK DR STE 3
BRYANT, AR
ZIP 72022-536
Phone: 15018472835
Fax: (501) 847-6809

The provider's authorized official is Shannon Braslavsky .
The authorized official title is Owner and has the following contact phone number (501) 847-2835.

The CLIA number assigned to this NPI record is 04D1004762 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/25/2017 and was last updated on 7/25/2017.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1363LP2300XNurse PractitionerPrimary CareA004140ARKANSASYes

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.