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CARSON WATARU ERCANBRACK
NPI 1235968470
Student in an Organized Health Care Education/Training Program in Little Rock, AR

Active since July 27, 2024PECOS Enrolled
3700 OLD CANTRELL RD APT 412, LITTLE ROCK, AR 72202(480) 389-7419 Get Directions Write a Review

NPPES record last updated: July 27, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Carson Wataru Ercanbrack NPPES

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

CARSON WATARU ERCANBRACK (NPI 1235968470) is an individual student in an organized health care education/training program in Little Rock, Arkansas and active in the NPI registry since July 2024. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1235968470
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameCARSON WATARU ERCANBRACK
Location Address3700 OLD CANTRELL RD APT 412Little Rock, AR 72202-1967
Mailing Address3700 Old Cantrell Rd Apt 412Little Rock, AR 72202-1967 · (480) 389-7419
Phone(480) 389-7419
Sole ProprietorNo
Enumeration DateJuly 27, 2024
NPPES CertifiedJuly 27, 2024
✔ NPI 1235968470 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.
3700 OLD CANTRELL RD APT 412, Little Rock, AR 72202
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Carson Wataru Ercanbrack 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.

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 Carson Ercanbrack's NPI number?

The NPI number for Carson Ercanbrack is 1235968470. It was assigned to this individual provider in the NPPES registry on July 27, 2024.

Where is Carson Ercanbrack located?

Carson Ercanbrack practices at 3700 Old Cantrell Rd Apt 412, Little Rock, AR 72202. The listed phone number is (480) 389-7419.

What is Carson Ercanbrack's specialty?

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

Is Carson Ercanbrack enrolled in Medicare?

Yes. Carson Ercanbrack is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Carson Ercanbrack was last updated on July 27, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.