| Brent F Hartsfield, CRNA | |
|
9601 Interstate 630 Exit 7, Little Rock, AR 72205-7202 | |
| (501) 202-2093 | |
| Not Available |
| Full Name | Brent F Hartsfield |
|---|---|
| Gender | Male |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 9601 Interstate 630 Exit 7, Little Rock, Arkansas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376737890 | NPI | - | NPPES |
| 9340125 | Other | AR | AETNA |
| 166831001 | Medicaid | AR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207L00000X | Anesthesiology | C02667 (Arkansas) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | C002667 (Arkansas) | Primary |
| Entity Name | University Of Arkansas For Medical Sciences |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1588654016 PECOS PAC ID: 4082528955 Enrollment ID: O20031219000706 |
| Entity Name | Arkansas Anesthesia Associates Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1497023360 PECOS PAC ID: 6406023142 Enrollment ID: O20120119000835 |
| Entity Name | Bp Anesthesia, Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1942736285 PECOS PAC ID: 8325319429 Enrollment ID: O20170808002928 |
| Entity Name | Premier Gastroenterology Associates Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1538663729 PECOS PAC ID: 1153685474 Enrollment ID: O20180514000249 |
| Mailing Address | Practice Location Address |
|---|---|
| Brent F Hartsfield, CRNA 4301 W Markham St # 783, Little Rock, AR 72205-7101 Ph: (501) 686-8000 | Brent F Hartsfield, CRNA 9601 Interstate 630 Exit 7, Little Rock, AR 72205-7202 Ph: (501) 202-2093 |