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DAC TAT PHAM M.D.
NPI 1063409761
Family Medicine in Brinkley, AR

Active since September 29, 2005PECOS Enrolled
208 S MAIN AVE, BRINKLEY, AR 72021(870) 734-3222(870) 734-1341 Get Directions Write a Review

NPPES record last updated: April 4, 2012. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Dac Tat Pham M.d. NPPES

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

DAC TAT PHAM M.D. (NPI 1063409761) is an individual family medicine provider in Brinkley, Arkansas, licensed in Arkansas (R3398) and active in the NPI registry since September 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1063409761
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDAC TAT PHAMCredential: M.D.
Location Address208 S MAIN AVEBrinkley, AR 72021-3210
Mailing Address208 S Main AveBrinkley, AR 72021-3210 · (870) 734-3222 · Fax (870) 734-1341
Phone(870) 734-3222
Fax(870) 734-1341
Sole ProprietorYes
Enumeration DateSeptember 29, 2005
Last NPPES UpdateApril 4, 2012
✔ NPI 1063409761 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in AR · R3398
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
208 S MAIN AVE, Brinkley, AR 72021
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Other Identifiers 2

Medicaid103572001AR
Medicare UPIND17044AR

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dac Tat Pham M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 72021 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$79.72 typical visit price
range $51.36 – $157.74
Typical copayment $19.93 (range $12.84 – $39.43)
Most-billed visit code 99203
Established Patient
$91.63 typical visit price
range $16.16 – $128.77
Typical copayment $22.90 (range $4.04 – $32.19)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Dac Pham's NPI number?

The NPI number for Dac Pham is 1063409761. It was assigned to this individual provider in the NPPES registry on September 29, 2005.

Where is Dac Pham located?

Dac Pham practices at 208 S Main Ave, Brinkley, AR 72021. The listed phone number is (870) 734-3222.

What is Dac Pham's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Dac Pham enrolled in Medicare?

Yes. Dac Pham is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Dac Pham was last updated on April 4, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.