IndividualActive
Brian Pottorf, MD
NPI 1760610307 · Surgery Physician · Fayetteville, AR
Provider details
- NPI number
- 1760610307
- Entity type
- Individual
- Primary specialty
- Surgery PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- DR.0053920 (CO)
Practice location
3264 N North Hills Blvd
Fayetteville, AR 72703-4005
Phone: (479) 521-3300
Fax: (479) 521-4705
Mailing address
Po Box 550
Lowell, AR 72745-0550
Registry dates
- Enumerated
- 2009-06-22
- Last updated
- 2021-02-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.