Board Certified Family Practice
NPI 1336358407 · Family Medicine Physician · Blytheville, AR
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Board Certified Family Practice is a Family Medicine Physician organization in Blytheville, AR (NPI 1336358407).
Provider details
- NPI number
- 1336358407
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Lisa Smith, Office Manager(870) 763-7695
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2007-05-22
- Last updated
- 2014-03-03
Frequently asked questions
- What is Board Certified Family Practice's NPI number?
- Board Certified Family Practice's National Provider Identifier (NPI) is 1336358407, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Board Certified Family Practice?
- Board Certified Family Practice is classified in the NPPES registry as Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Board Certified Family Practice located?
- Board Certified Family Practice's practice location on file with NPPES is 527 North Sixth Street, Blytheville, AR 72315-2790.
- What is Board Certified Family Practice's phone number?
- The practice phone number listed in the NPPES registry for Board Certified Family Practice is (870) 763-4541.
- Does Board Certified Family Practice accept Medicare?
- Board Certified Family Practice is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Board Certified Family Practice?
- The authorized official listed on Board Certified Family Practice's NPPES record is Lisa Smith, Office Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Board Certified Family Practice's NPI active?
- Yes — Board Certified Family Practice's NPI (1336358407) is active in the NPPES registry as of the last update on 2014-03-03.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.