Healthcare Provider Details

I. General information

NPI: 1508877903
Provider Name (Legal Business Name): BOWEN HEFLEY RHODES STEWART ORTHOPEDICS, PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/10/2006
Last Update Date: 05/06/2026
Certification Date: 05/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5220 NORTHSHORE DR
NORTH LITTLE ROCK AR
72118-5297
US

IV. Provider business mailing address

5220 NORTHSHORE DR
NORTH LITTLE ROCK AR
72118-5297
US

V. Phone/Fax

Practice location:
  • Phone: 501-663-6455
  • Fax: 501-663-4877
Mailing address:
  • Phone: 501-663-6455
  • Fax: 501-663-4877

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207XS0106X
TaxonomyOrthopaedic Hand Surgery Physician
License NumberMC1434
License Number StateAR
# 3
Primary TaxonomyN
Taxonomy Code207XX0801X
TaxonomyOrthopaedic Trauma Physician
License NumberMC1434
License Number StateAR
# 4
Primary TaxonomyN
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License NumberMC1434
License Number StateAR
# 5
Primary TaxonomyN
Taxonomy Code208100000X
TaxonomyPhysical Medicine & Rehabilitation Physician
License Number
License Number State
# 6
Primary TaxonomyN
Taxonomy Code213ES0103X
TaxonomyFoot & Ankle Surgery Podiatrist
License NumberMD1434
License Number StateAR
# 7
Primary TaxonomyN
Taxonomy Code213E00000X
TaxonomyPodiatrist
License NumberMC1434
License Number StateAR
# 8
Primary TaxonomyN
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number
License Number State
# 9
Primary TaxonomyN
Taxonomy Code207XX0004X
TaxonomyOrthopaedic Foot and Ankle Surgery Physician
License NumberMC1434
License Number StateAR
# 10
Primary TaxonomyN
Taxonomy Code207XX0005X
TaxonomySports Medicine (Orthopaedic Surgery) Physician
License NumberMC1434
License Number StateAR
# 11
Primary TaxonomyY
Taxonomy Code207XS0114X
TaxonomyAdult Reconstructive Orthopaedic Surgery Physician
License NumberMC1434
License Number StateAR

VIII. Authorized Official

Name: BEVERLY KAYE HEARNE
Title or Position: MISC OVERDRAFT
Credential:
Phone: 501-804-3427