BRANDON KEITH VICK (NPI# 1972034775) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972034775 |
| Entity Type | Individual |
| Full Name | BRANDON KEITH VICK |
| Credential | M.D. |
| Practice Address |
612 South 12th St. Family Medicine Uams-west Fort Smith AR 72901 |
| Practice Telephone | 4797852431 |
| Practice Fax Number | 4797850732 |
| Mailing Telephone | 4797852431 |
| Mailing Fax Number | 4797850732 |
| Enumeration Date | 2017-03-23 |
| Last Update Date | 2019-07-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | E12128 | AR | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
612 SOUTH 12TH ST. FAMILY MEDICINE UAMS-WEST |
| City | FORT SMITH |
| State | AR |
| Zip Code | 72901 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922627249 | Vaibhav S Desai | Student in an Organized Health Care Education/Training Program | Family Medicine Uams-west, 612 South 12th St., Fort Smith, AR 72901 | 2020-04-16 |
| 1689136475 | Prudence Nassem Ipaye-adebiyi | Student in an Organized Health Care Education/Training Program | Family Medicine ; Uams-west, 612 South 12th St., Fort Smith, AR 72901 | 2019-04-02 |
| 1134608961 | Baptist Health Services | Otolaryngology | 520 Towson Ave, Suite A, Fort Smith, AR 72901 | 2018-08-13 |
| 1316426125 | Baptist Health Services | Internal Medicine | 1500 Dodson Ave Ste 60, Fort Smith, AR 72901 | 2018-08-13 |
| 1396224101 | Baptist Health Services | Internal Medicine | 1001 Towson Ave Ste 100, Fort Smith, AR 72901 | 2018-08-13 |
| 1164901914 | Baptist Health Services | Internal Medicine | 1001 Towson Ave Ste 200, Fort Smith, AR 72901 | 2018-08-13 |
| 1942789755 | Baptist Health Services | Counselor | 1001 Towson Ave Ste 500, Fort Smith, AR 72901 | 2018-08-13 |
| 1669951315 | Baptist Health Services | Family Medicine | 1500 Dodson Ave Ste 175, Fort Smith, AR 72901 | 2018-08-13 |
| 1508345265 | Baptist Health Services | Internal Medicine | 1500 Dodson Ave Ste 180, Fort Smith, AR 72901 | 2018-08-13 |
| 1326527086 | Baptist Health Services | Family Medicine | 1500 Dodson Ave Ste 195, Fort Smith, AR 72901 | 2018-08-13 |
| Find all providers in zip 72901 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336378462 | Kristin R Pece | Emergency Medicine | 7301 Rogers Av, Fort Smith, AR 72903 | 2009-07-10 |
| 1093772592 | James Cary Wilson | Emergency Medicine | 7301 Rogers Ave., Emergency Department, Fort Smith, AR 72903-4100 | 2006-04-27 |
| 1972582260 | Danny Silver | Emergency Medicine | 4600 Towson Ave, Suite 101-w-1, Fort Smith, AR 72901-7961 | 2006-01-13 |
| 1134106743 | Dwight Joseph Johnson | Emergency Medicine | 2706 Herbert St, Fort Smith, AR 72901-4283 | 2005-12-23 |
| 1922539907 | Jonathan D Moser | Emergency Medicine | 612 S 12th St, Fort Smith, AR 72901-4702 | 2017-03-22 |
| 1629425061 | Chiricka Orisakwe | Emergency Medicine | 612 South 12th Street, Family Medicine Uams-west, Fort Smith, AR 72901 | 2016-05-16 |
| 1437545761 | Wallace Lock | Emergency Medicine | 612 S 12th St, Fort Smith, AR 72901-4702 | 2015-04-14 |
| 1417343724 | Eric Fredrickson | Emergency Medicine | 7301 Rogers Ave, Fort Smith, AR 72903-4100 | 2015-04-13 |
| 1861886731 | Aaron Bull | Emergency Medicine | 7301 Rogers Ave, Fort Smith, AR 72903-4100 | 2015-03-27 |
| 1396133393 | Medexpress Urgent Care Arkansas, P.a. | Emergency Medicine | 4600 Rogers Ave, Fort Smith, AR 72903-3149 | 2014-12-30 |
| Find all providers in FORT SMITH | ||||
| City | FORT SMITH |
| Zip Code | 72901 |
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| 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.