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NPI Code Detail

MEDICARE: BRENT L WALKER M.D.

MEDICARE: BRENT L WALKER M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207L00000XAnesthesiology PhysicianE-1138AR
2208VP0014XInterventional Pain Medicine PhysicianE-1138AR

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
3050067293OTHERARRAILROAD MEDICARE (LRPM)
6050067294OTHERARRAILROAD MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
118432000020OTHERARQUAL CHOICE (LRPM)
271033532430OTHERARQUAL CHOICE
4S00826OTHERARNOVASYS
5171973300OTHERARUS DEPT. OF LABOR OWCP
7MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
8770132101OTHERARARKANSAS BREASTCARE
95L114OTHERARBLUE CROSS BLUE SHIELD

General Provider Information

NPI Number : 1952398687
Entity Type Code : Individual
Provider Name (Legal Business Name) : BRENT L WALKER M.D.
Provider Business Mailing Address
First Line : 800 FAIR PARK BLVD
Second Line :
City : LITTLE ROCK
State : AR
Zip : 72204-1720
Country : US
Telephone Number : 501-500-3500
Fax Number : 501-777-3519
Provider Business Practice Location Address
First Line : 800 FAIR PARK BLVD
Second Line :
City : LITTLE ROCK
State : AR
Zip : 72204-1720
Country : US
Telephone Number : 501-500-3500
Fax Number : 501-777-3519
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/27/2005
Last Update Date : 07/26/2021

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Practice Location Address:
800 FAIR PARK BLVD
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1245222959 — DR. PHILIP H JOHNSON M.D.
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1871561167 — DR. ANTHONY L CAPOCELLI JR. M.D.
Practice Location Address:
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72204-1720
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Directions to “ BRENT L WALKER M.D.” Practice Location

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