Bruce Mitchell (NPI# 1467498154, PAC ID# 6406834662) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY PRACTICE.
| Nation Provider ID (NPI) | 1467498154 |
| PAC ID by PECOS | 6406834662 |
| Professional Enrollment ID | I20040713000842 |
| Full Name | Bruce Mitchell |
| Organization Legal Name | DARDANELLE COMMUNITY HOSPITAL LLC |
| Address |
200 N 3rd St River Valley Medical Center Dardanelle AR 72834-3802 |
| Phone Number | 4792294677 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF ARKANSAS COLLEGE OF MEDICINE |
| Graduation Year | 1994 |
| Primary Specialty | FAMILY PRACTICE |
| Secondary Specialties | EMERGENCY MEDICINE |
| Group Practice PAC ID | 5193822062 |
| Number of Group Practice Members | 14 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 041304 | EUREKA SPRINGS HOSPITAL, LLC |
| 040015 | MENA REGIONAL HEALTH SYSTEM |
| 041302 | RIVER VALLEY MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 200 N 3rd St, River Valley Medical Center, Dardanelle, AR 72834-3802 | 4792294677 | DARDANELLE COMMUNITY HOSPITAL LLC |
| 200 N 3rd St, Dardanelle, AR 72834-3802 | 4792294677 | DARDANELLE COMMUNITY HOSPITAL LLC |
| Organization Legal Name | DARDANELLE COMMUNITY HOSPITAL LLC |
| Physicians | 4 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jerry F Hodges | Family Practice | Dardanelle Community Hospital LLC | 200 N 3rd St, River Valley Medical Center, Dardanelle, AR 72834-3802 |
| William P Scott | General Practice | Dardanelle Community Hospital LLC | 200 N 3rd St, Dardanelle, AR 72834-3802 |
| Timothy Bryant | Emergency Medicine | Dardanelle Community Hospital LLC | 200 N 3rd St, Dardanelle, AR 72834-3802 |
| Street Address |
200 N 3RD ST RIVER VALLEY MEDICAL CENTER |
| City | DARDANELLE |
| State | AR |
| Zip | 72834-3802 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Robin Q Goodman | Pediatric Medicine | Flagg Emergency Group, Pllc | 200 N 3rd St, Dardanelle, AR 72834-3802 |
| Hailey Small | Family Medicine | Flagg Emergency Group, Pllc | 200 N 3rd St, Dardanelle, AR 72834-3802 |
| Chet Alvis Crawford | Family Medicine | Flagg Emergency Group, Pllc | 200 N 3rd St, Dardanelle, AR 72834-3802 |
| Kimberly D Whicker | Family Medicine | Flagg Emergency Group, Pllc | 200 N 3rd St, Dardanelle, AR 72834-3802 |
| Payal Patel | Family Medicine | Flagg Emergency Group, Pllc | 200 N 3rd St, Dardanelle, AR 72834-3802 |
| Timothy B Vyrostek | Chiropractic | 200 N 3rd St, Conneaut Lake, PA 16316-0169 | |
| Jerry F Hodges | Family Practice | Dardanelle Community Hospital LLC | 200 N 3rd St, River Valley Medical Center, Dardanelle, AR 72834-3802 |
| William P Scott | General Practice | Dardanelle Community Hospital LLC | 200 N 3rd St, Dardanelle, AR 72834-3802 |
| Timothy Bryant | Emergency Medicine | Dardanelle Community Hospital LLC | 200 N 3rd St, Dardanelle, AR 72834-3802 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Robert A Bell | Urology | 2301 W Main St, Russellville, AR 72834-2557 | |
| Allan Karl Kirkland | Family Medicine | 1652 State Hwy 22 W, Dardanelle, AR 72834-2909 | |
| Richard Garrison | Registered Dietitian Or Nutrition Professional | The Kirkland Family Medical Center, Pa | 1652 State Hwy 22 W, Dardanelle, AR 72834-2909 |
| Kayla Manatt | Nurse Practitioner | The Kirkland Family Medical Center, Pa | 1652 State Hwy 22 W, Dardanelle, AR 72834-2909 |
| Matthew Self | Family Practice | River Valley Medical Center Family Clinic LLC | 1652 State Hwy 22 W, Dardanelle, AR 72834-2909 |
| Joe T Hebert | Nurse Practitioner | Bradley Bibb Md Pllc | 1176 State Hwy 22 W B, Amc Dardanelle, Dardanelle, AR 72834-3006 |
| Katerina Lynn Devore | Nurse Practitioner | River Valley Medical Center Family Clinic LLC | 215 N 4th St, Dardanelle, AR 72834-3713 |
| Amy J Daiber | Optometry | 204 N Front St, Dardanelle, AR 72834-3824 | |
| Becky Gaspard | Clinical Social Worker | 116 S Front St, Dardanelle, AR 72834-4028 |
| City | DARDANELLE |
| Zip Code | 72834 |
| Specialty | FAMILY PRACTICE |
| City + Specialty | DARDANELLE + FAMILY PRACTICE |
Please comment or provide details below to improve the information on Bruce Mitchell.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.