Healthcare Provider Details

I. General information

NPI: 1205403920
Provider Name (Legal Business Name): ADRIAN J CARDER MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/10/2021
Last Update Date: 04/02/2026
Certification Date: 04/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5320 W SUNSET AVE STE 157
SPRINGDALE AR
72762-4410
US

IV. Provider business mailing address

5320 W SUNSET AVE STE 157
SPRINGDALE AR
72762-4410
US

V. Phone/Fax

Practice location:
  • Phone: 479-966-9331
  • Fax: 855-618-2364
Mailing address:
  • Phone: 479-966-7331
  • Fax: 855-618-2364

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberE19538
License Number StateAR
# 2
Primary TaxonomyN
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License NumberE19538
License Number StateAR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: