JAMES J BRANTLEY (NPI# 1720083033) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720083033 |
| Entity Type | Individual |
| Full Name | JAMES J BRANTLEY |
| Credential | DPM |
| Practice Address |
2828 E Millennium Pl Suite 2 Fayetteville AR 72703-6514 |
| Mailing Address |
Po Box 8728 Fayetteville AR 72703-0013 |
| Practice Telephone | 4795821199 |
| Practice Fax Number | 4795821194 |
| Mailing Telephone | 4795821199 |
| Mailing Fax Number | 4795821194 |
| Enumeration Date | 2005-06-15 |
| Last Update Date | 2016-05-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | 152 | AR | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | STATE PODIATRY LICENSE | 152 | 01 |
| AR | CAQH PROVIDER NUMBER | 11443421 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003050758 | James Edward Brantley IIi | Licensed Practical Nurse | 5 Hob St, Newburgh, NY 12550-6608 | 2009-04-25 |
| 1447469622 | James Wallace Brantley Jr. | Dentist | 5685 Hwy 18 West, Jackson, MS 39209-9622 | 2007-05-22 |
| Street Address |
2828 E MILLENNIUM PL SUITE 2 |
| City | FAYETTEVILLE |
| State | AR |
| Zip Code | 72703-6514 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710256003 | Ozark Foot & Ankle Plc | Podiatrist | 2828 E Millennium Pl, Suite 2, Fayetteville, AR 72703-6514 | 2011-12-15 |
| 1952320640 | Gail R Johnson | Podiatrist | 2828 E Millennium Pl, Suite 2, Fayetteville, AR 72703-6514 | 2006-07-19 |
| 1205869229 | Fulmer and Johnson Foot & Ankle, P.a. | Podiatrist | 2828 E Millennium Pl, Fayetteville, AR 72703-6514 | 2006-07-10 |
| 1184658114 | Daniel C Fulmer | Podiatrist | 2828 E Millennium Pl, Suite 2, Fayetteville, AR 72703-6514 | 2006-07-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477154391 | Margaret Sorrells | Pharmacist | 3909 N Mall Ave Attn:pharmacy, Fayetteville, AR 72703 | 2020-11-06 |
| 1497369631 | Justin A Rand | Massage Therapist | 88 W Colt Square Dr, Fayetteville, Ar 72703, Fayetteville, AR 72703 | 2020-09-04 |
| 1235777558 | Washington Regional Medical System | Specialist | 3264 N North Hills Blvd, Fayetteville, AR 72703 | 2019-12-17 |
| 1760024582 | Haley Brooke Thompson | Occupational Therapist | 2474 E Joyce Blvd Ste 2, Null, Fayetteville, AR 72703 | 2019-10-14 |
| 1306492129 | Bhg L, LLC | Clinic/Center | 8 Colt Square Drive, Fayetteville, AR 72703 | 2019-08-16 |
| 1306406269 | Idell Marie Mitchell | Optometrist | Eye Clinic, 1100 N College Ave, Fayetteville, AR 72703 | 2019-06-13 |
| 1821574815 | Toni Myer | Nurse Practitioner | 3 E Appleby Rd Ste 101, Fayetteville, AR 72703 | 2018-07-13 |
| 1306340393 | Josh Kelfer | Student in an Organized Health Care Education/Training Program | 1125 North College Avenue, Fayetteville, AR 72703 | 2018-03-22 |
| 1649726449 | Vantage Point of Nwa | Community/Behavioral Health | 4171 N. Crossover Rd, Fayetteville, AR 72703 | 2016-08-31 |
| 1386097137 | Jason Nordstrom | Speech-Language Pathologist | 2664 N Valencia Ave, Fayetteville, AR 72703 | 2016-07-18 |
| Find all providers in zip 72703 | ||||
| Taxonomy Code | 213E00000X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417509597 | Dr. Austin Kramer P.a. | Podiatrist | 509 E Millsap Rd Ste Ve101, Fayetteville, AR 72703-4067 | 2019-07-10 |
| 1073003752 | Gooden Mobile Pod Nc Pllc | Podiatrist | 311 Mcfadyen Dr, Fayetteville, NC 28314 | 2018-05-17 |
| 1902239486 | Austin Alan Kramer | Podiatrist | 509 E Millsap Rd Ste 101, Fayetteville, AR 72703-4862 | 2013-08-19 |
| 1609112978 | Nathan Ashby Dpm Pllc | Podiatrist | 124 Margo Ln, Fayetteville, NY 13066-1529 | 2012-12-14 |
| 1528238037 | Joseph P. Novek Dpm | Podiatrist | 6950 E Genesee St, Fayetteville, NY 13066-1036 | 2008-03-11 |
| 1669558466 | Joseph P Novek | Podiatrist | 6950 East Genesee St, Fayetteville, NY 13066 | 2006-10-27 |
| 1932131935 | Lloyd Trichell | Podiatrist | 509 E Millsap Rd, Suite #101, Fayetteville, AR 72703-4067 | 2006-07-07 |
| 1508800988 | Steven K Bowen | Podiatrist | 1645 Owen Dr, Fayetteville, NC 28304-3425 | 2006-06-15 |
| 1780634535 | Sandra R Sheehan | Podiatrist | 1738 Metromedical Dr, Fayetteville, NC 28304-3861 | 2006-05-11 |
| 1043288459 | Roberta Jean Parker | Podiatrist | 730 West Lanier Avenue, Fayetteville, GA 30214 | 2006-03-10 |
| Find all providers in FAYETTEVILLE | ||||
| City | FAYETTEVILLE |
| Zip Code | 72703 |
Please comment or provide details below to improve the information on JAMES J BRANTLEY.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.