Healthcare Provider Details

I. General information

NPI: 1346236072
Provider Name (Legal Business Name): BRAD L LINDSEY MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/27/2005
Last Update Date: 07/21/2025
Certification Date: 07/21/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2850 PRINCE ST STE 43
CONWAY AR
72034-3600
US

IV. Provider business mailing address

857 MITCHELL ST
CONWAY AR
72034-5114
US

V. Phone/Fax

Practice location:
  • Phone: 501-327-6665
  • Fax:
Mailing address:
  • Phone: 501-287-0089
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207LP2900X
TaxonomyPain Medicine (Anesthesiology) Physician
License Number29999
License Number StateWV
# 2
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License NumberE2860
License Number StateAR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: