1. Home
  2. Directory
  3. Arkansas
  4. Bentonville
  5. Family Medicine
  6. NPI Profile

TUCKER FAMILY MEDICINE OF ARKANSAS, INC
NPI 1063508299
Family Medicine in Bentonville, AR

Active since October 05, 2006
2905 S WALTON BLVD, STE. 17, BENTONVILLE, AR 72712(870) 405-8579 Get Directions Write a Review

NPPES record last updated: November 16, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Tucker Family Medicine Of Arkansas, Inc NPPES

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

TUCKER FAMILY MEDICINE OF ARKANSAS, INC (NPI 1063508299) is a healthcare organization registered as a family medicine in Bentonville, Arkansas and active in the NPI registry since October 2006. The organization lists Donald L Tucker, Business Manager, as its authorized official.

NPPES Registry Identity

NPI1063508299
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameTUCKER FAMILY MEDICINE OF ARKANSAS, INC
Location Address2905 S WALTON BLVD, STE. 17Bentonville, AR 72712-6730
Mailing Address103 SomersetBentonville, AR 72712-4091 · (479) 270-8970
Phone(870) 405-8579
Organization SubpartNo
Authorized OfficialDonald L TuckerBusiness Manager · (870) 405-8579
Enumeration DateOctober 5, 2006
Last NPPES UpdateNovember 16, 2012
✔ NPI 1063508299 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
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.
2905 S WALTON BLVD, Bentonville, AR 72712
Open in Google Maps ↗

Other Identifiers 2

Medicaid158496002AR
Medicare ID-Type Unspecified5F259AR

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

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

DR. TAMMY JEAN HALE TUCKER D.O.
Family Medicine
2905 S WALTON BLVD, STE 17
BENTONVILLE, AR 72712
Benton County (479) 657-6800
DR. TRACI L IVEY MD
Family Medicine
2905 S WALTON BLVD, SUITE 17
BENTONVILLE, AR 72712
Benton County (479) 657-6501

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 Tucker Family Medicine Of Arkansas, Inc's NPI number?

The NPI number for Tucker Family Medicine Of Arkansas, Inc is 1063508299. It was assigned to this organization in the NPPES registry on October 5, 2006.

Where is Tucker Family Medicine Of Arkansas, Inc located?

Tucker Family Medicine Of Arkansas, Inc is located at 2905 S Walton Blvd Ste. 17, Bentonville, AR 72712. The listed phone number is (870) 405-8579.

What is Tucker Family Medicine Of Arkansas, Inc's specialty?

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

When was this NPI record last updated?

The NPPES record for Tucker Family Medicine Of Arkansas, Inc was last updated on November 16, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.