Larry Bruce Brashears, MD | |
1517 S Main St, Malvern, AR 72104 | |
(501) 332-7525 | |
Not Available |
Full Name | Larry Bruce Brashears |
---|---|
Gender | Male |
Speciality | Family Medicine |
Location | 1517 S Main St, Malvern, Arkansas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1831110758 | NPI | - | NPPES |
102624001 | Medicaid | AR | |
C-3174 | Other | AR | ASMB MEDICAL LICENSE |
50610 | Other | AR | BLUE CROSS BLUE SHIELD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | C3174 (Arkansas) | Primary |
Entity Name | Healthstar Physicians Of Hot Springs, Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1821176934 PECOS PAC ID: 5698665685 Enrollment ID: O20040315001542 |
Mailing Address | Practice Location Address |
---|---|
Larry Bruce Brashears, MD 1661 Airport Rd Ste D, Hot Springs, AR 71913-8184 Ph: (501) 625-7500 | Larry Bruce Brashears, MD 1517 S Main St, Malvern, AR 72104 Ph: (501) 332-7525 |
Ms. Melanie Deborah Jones, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1001 Schneider Dr, Malvern, AR 72104 Phone: 501-332-1000 | |
Dr. Gregory Scott Mckinney, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 100 Walco Ln, Malvern, AR 72104 Phone: 501-337-8061 Fax: 501-337-8043 | |
Dr. Vivian Faye Highsmith, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 1001 Schneider Dr, Malvern, AR 72104 Phone: 501-332-7355 Fax: 501-332-7044 | |
Dylan Paul Thaxton, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2223 Grant St, Malvern, AR 72104 Phone: 501-337-9031 Fax: 501-337-9033 | |
Omar Qazi, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1001 Schneider Dr, Malvern, AR 72104 Phone: 501-332-1000 | |
Shawn Purifoy, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 850 Henry St, Malvern, AR 72104 Phone: 501-337-1836 Fax: 501-337-7935 |