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Contact Information

JAMES J BRANTLEY, DPM
500 S MOUNT OLIVE ST
SUITE 201
SILOAM SPRINGS, AR72761-3602
 Phone: 479-549-3835
 Fax: 479-549-4146
 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
Credentials DPM (Doctor of Podiatric Medicine)
Entity Individual
Enumeration date 06/15/2005
Last updated 02/15/2012 - About 4 years ago
Sole proprietor 1 No
Identifiers
AR License # 152
Medicare PIN 5T316GA25
AR Medicare UPIN U61647
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
  • PHYSICIANS' SPECIALTY HOSPITAL - (Acute Care)
    3873 NORTH PARKVIEW DRIVE
    FAYETTEVILLE, AR 72703
  • SILOAM SPRINGS MEMORIAL HOSPITAL - (Acute Care)
    603 NORTH PROGRESS AVENUE
    SILOAM SPRINGS, AR 72761
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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