| Dr Brent Christopher Staggs, MD | |
|
1 Lile Ct, Suite 101, Little Rock, AR 72205-6242 | |
| (501) 225-7711 | |
| Not Available |
| Full Name | Dr Brent Christopher Staggs |
|---|---|
| Gender | Male |
| Speciality | Pathology - Anatomic Pathology & Clinical Pathology |
| Location | 1 Lile Ct, 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 |
|---|---|---|---|
| 1164508883 | NPI | - | NPPES |
| 164670001 | Medicaid | AR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207ZH0000X | Pathology - Hematology | E3430 (Arkansas) | Secondary |
| 207ZP0102X | Pathology - Anatomic Pathology & Clinical Pathology | E3430 (Arkansas) | Primary |
| Entity Name | Infinite Genomics |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1740179282 PECOS PAC ID: 7719377712 Enrollment ID: O20250724000525 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Brent Christopher Staggs, MD 1 Lile Ct, Suite 101, Little Rock, AR 72205-6242 Ph: (501) 225-7711 | Dr Brent Christopher Staggs, MD 1 Lile Ct, Suite 101, Little Rock, AR 72205-6242 Ph: (501) 225-7711 |
Dr. Larry Nicholas Cossey, M.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 10810 Executive Center Dr, Suite 100, Little Rock, AR 72211 Phone: 501-604-2695 |
Hal Eugene Palmer, Pathology Medicare: Accepting Medicare Assignments Practice Location: 1 Lile Ct, Suite 101, Little Rock, AR 72205 Phone: 501-225-7711 Fax: 501-225-7108 |
Neslihan Cetin, M.D. Pathology Medicare: Not Enrolled in Medicare Practice Location: 4301 W Markham St # 783, Little Rock, AR 72205 Phone: 501-686-8000 |
Ms. Stephen Eric Sturdivant, MD Pathology Medicare: Not Enrolled in Medicare Practice Location: 1 Saint Vincent Cir, Little Rock, AR 72205 Phone: 501-663-4116 Fax: 501-663-4301 |
Bradley Fogel, D.O. Pathology Medicare: Accepting Medicare Assignments Practice Location: 4301 W Markham St # 783, Little Rock, AR 72205 Phone: 501-686-8000 |
Dr. Ila Bansal, MD Pathology Medicare: Not Enrolled in Medicare Practice Location: 4301 W Markham, 517, Little Rock, AR 72205 Phone: 501-526-7768 Fax: 501-526-7983 |
Dr. Fred George Silva Ii, M.D. Pathology Medicare: Not Enrolled in Medicare Practice Location: 10810 Executive Center Dr Ste 100, Little Rock, AR 72211 Phone: 501-604-2695 Fax: 501-604-2699 |