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Contact Information

JAMES J BRANTLEY, DPM
2828 E MILLENNIUM PL
SUITE 2
FAYETTEVILLE, AR72703-6514
 Phone: 479-582-1199
 Fax: 479-582-1194
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Podiatrist

213E00000X 48 Podiatry
Indicates primary specialty

NPI Profile & details for JAMES J BRANTLEY · (Male)

NPI Number 1720083033
Status Active
Credentials DPM (Doctor of Podiatric Medicine)
Entity Individual
Enumeration date 06/15/2005
Last updated 05/05/2016 - About 10 years ago
Sole proprietor 1 No
Identifiers
  • AR License # 152
  • AR Other 11443421 CAQH PROVIDER NUMBER
  • AR Other 152 STATE PODIATRY LICENSE
Hospital affiliation(s)
  • NW ARKANSAS HOSPITALS LLC - (Acute Care)
    609 WEST MAPLE AVENUE
    SPRINGDALE, AR 72764
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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