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SPENCER BRAZIL
NPI 1063241107
Student in an Organized Health Care Education/Training Program in Fayetteville, AR

Active since July 29, 2024
1125 N COLLEGE AVE, FAYETTEVILLE, AR 72703(501) 686-7000 Get Directions Write a Review

NPPES record last updated: July 29, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Spencer Brazil NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SPENCER BRAZIL (NPI 1063241107) is an individual student in an organized health care education/training program in Fayetteville, Arkansas and active in the NPI registry since July 2024.

NPPES Registry Identity

NPI1063241107
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameSPENCER BRAZIL
Location Address1125 N COLLEGE AVEFayetteville, AR 72703-1908
Mailing Address1580 Highway 216Houston, AR 72070-8249 · (501) 889-8481
Phone(501) 686-7000
Sole ProprietorNo
Enumeration DateJuly 29, 2024
NPPES CertifiedJuly 29, 2024
✔ NPI 1063241107 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
1125 N COLLEGE AVE, Fayetteville, AR 72703
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

GRACE WOOD
Student in an Organized Health Care Education/Training Program
1125 N COLLEGE AVE
FAYETTEVILLE, AR 72703
Washington County (479) 713-8000
COLIN CARR MD
Student in an Organized Health Care Education/Training Program
1125 N COLLEGE AVE
FAYETTEVILLE, AR 72703
Washington County (479) 463-3370
JENNIFER STEINAUER PTA
Physical Therapy Assistant
1125 N COLLEGE AVE
FAYETTEVILLE, AR 72703
Washington County (479) 713-8630
RYAN RUSSELL
Student in an Organized Health Care Education/Training Program
1125 N COLLEGE AVE
FAYETTEVILLE, AR 72703
Washington County (479) 521-8260
KELVIN VANN
Student in an Organized Health Care Education/Training Program
1125 N COLLEGE AVE
FAYETTEVILLE, AR 72703
Washington County (479) 521-8260
LUKE TOLLETT MD
Student in an Organized Health Care Education/Training Program
1125 N COLLEGE AVE
FAYETTEVILLE, AR 72703
Washington County (479) 521-8260
DR. TONY SCOTT ROLLER II MD
Student in an Organized Health Care Education/Training Program
1125 N COLLEGE AVE
FAYETTEVILLE, AR 72703
Washington County (479) 521-8260
DR. JAMILA WEATHERLY MD
Student in an Organized Health Care Education/Training Program
1125 N COLLEGE AVE
FAYETTEVILLE, AR 72703
Washington County (479) 521-8260

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Spencer Brazil's NPI number?

The NPI number for Spencer Brazil is 1063241107. It was assigned to this individual provider in the NPPES registry on July 29, 2024.

Where is Spencer Brazil located?

Spencer Brazil practices at 1125 N College Ave, Fayetteville, AR 72703. The listed phone number is (501) 686-7000.

What is Spencer Brazil's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Spencer Brazil was last updated on July 29, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.