WASHINGTON REGIONAL ENDOCRINOLOGY
NPI 1255758868
Internal Medicine - Endocrinology, Diabetes & Metabolism in Fayetteville, AR

Active since March 20, 2014CLIA 04D2079106 · Waiver
82 W SUNBRIDGE DR, FAYETTEVILLE, AR 72703(479) 463-7400(479) 463-7413 Get Directions Write a Review

NPPES record last updated: March 20, 2014. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Washington Regional Endocrinology NPPES

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

WASHINGTON REGIONAL ENDOCRINOLOGY (NPI 1255758868) is a healthcare organization registered as an endocrinology, diabetes & metabolism in Fayetteville, Arkansas and active in the NPI registry since March 2014. The organization holds a CLIA Waiver certificate valid through June 9, 2028 and lists William L Bradley, Ceo, as its authorized official.

NPPES Registry Identity

NPI1255758868
Entity TypeOrganization
Primary Taxonomy207RE0101X
Legal Business NameWASHINGTON REGIONAL MEDICAL SYSTEM
Location Address82 W SUNBRIDGE DRFayetteville, AR 72703-1822
Mailing Address82 W Sunbridge DrFayetteville, AR 72703-1822 · (479) 463-7400 · Fax (479) 463-7413
Fax(479) 463-7413
Organization SubpartNo
Authorized OfficialWilliam L BradleyCeo · (479) 463-6300
Enumeration DateMarch 20, 2014
✔ NPI 1255758868 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Endocrinology, Diabetes & MetabolismAllopathic & Osteopathic Physicians
Taxonomy Code207RE0101X
Definition
An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.
82 W SUNBRIDGE DR, Fayetteville, AR 72703

Other Names 1

Doing Business AsWashington Regional Endocrinology

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

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Washington Regional Endocrinology is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by January 31, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateArkansasEnrollment IDO20100130000001Non-DME Part B · Clinic/Group PracticeDue dateJanuary 31, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

106

Medicare enrollment records show 106 clinicians reassign Medicare billing to Washington Regional Endocrinology, which bills Medicare for the services they deliver. Of these, 67 practice within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 18

Nurse Practitioner31
Family Practice21
General Surgery12
Internal Medicine8
Obstetrics/Gynecology7
Nephrology4
Physical Therapist in Private Practice4
Cardiac Surgery3
10 other specialties16

Nearest to this location (20)

See all 106
Family Practice
NPI 1033283155
3 E APPLEBY RD SUITE 101
Fayetteville, AR 72703
(479) 404-1010
✔ PECOS✔ Accepts Medicare0.7 mi
Endocrinology
NPI 1952561599
3 EAST APPLEBY RD. SUITE 202
Fayetteville, AR 72703
(479) 404-1140
✔ PECOS✔ Accepts Medicare0.7 mi
Endocrinology
NPI 1649407354
3 EAST APPLEBY RD. SUITE 202
Fayetteville, AR 72703
(479) 404-1140
✔ PECOS✔ Accepts Medicare0.7 mi
Nurse Practitioner
NPI 1114385374
12 E APPLEBY RD SUITE 101
Fayetteville, AR 72703
(479) 463-4444
✔ PECOS0.7 mi
Nurse Practitioner
NPI 1861025173
3211 N NORTHHILLS BLVD
Fayetteville, AR 72703
(479) 463-1000
✔ PECOS✔ Accepts Medicare0.8 mi
Thoracic Surgery
NPI 1134171713
3211 N NORTHHILLS BLVD
Fayetteville, AR 72703
(479) 404-2110
✔ PECOS✔ Accepts Medicare0.8 mi
Nurse Practitioner
NPI 1912589151
3211 N. NORTHILLS BLVD
Fayetteville, AR 72703
(479) 404-2110
✔ PECOS✔ Accepts Medicare0.8 mi
Nurse Practitioner
NPI 1033067517
3215 N NORTHHILLS BLVD
Fayetteville, AR 72703
(479) 463-1000
✔ PECOS✔ Accepts Medicare0.8 mi
Nurse Practitioner
NPI 1952974750
3215 N NORTHHILLS BLVD
Fayetteville, AR 72703
(479) 463-2935
✔ PECOS0.8 mi
Family Practice
NPI 1154371946
3215 N NORTHHILLS BLVD
Fayetteville, AR 72703
(479) 463-7300
✔ PECOS✔ Accepts Medicare0.8 mi
Family Practice
NPI 1699755942
3215 N NORTHHILLS BLVD
Fayetteville, AR 72703
(479) 463-7102
✔ PECOS✔ Accepts Medicare0.8 mi
Internal Medicine
NPI 1245973403
3215 N NORTHHILLS BLVD
Fayetteville, AR 72703
(479) 463-1000
✔ PECOS✔ Accepts Medicare0.8 mi
Nurse Practitioner
NPI 1477958114
107 E MONTE PAINTER DR
Fayetteville, AR 72703
(479) 463-7000
✔ PECOS✔ Accepts Medicare0.8 mi
Nurse Practitioner
NPI 1265460430
3232 N NORTHHILLS BLVD
Fayetteville, AR 72703
(479) 587-1700
✔ PECOS✔ Accepts Medicare0.8 mi
Nurse Practitioner
NPI 1215604459
3276 N NORTHHILLS BLVD
Fayetteville, AR 72703
(479) 404-2110
✔ PECOS✔ Accepts Medicare0.9 mi
Nurse Practitioner
NPI 1922278878
3344 N FUTRALL DR
Fayetteville, AR 72703
(479) 582-7395
✔ PECOS✔ Accepts Medicare1.0 mi
Gastroenterology
NPI 1225492531
3344 N FUTRALL DR
Fayetteville, AR 72703
(479) 582-7230
✔ PECOS✔ Accepts Medicare1.0 mi
Nurse Practitioner
NPI 1265820542
3344 N FUTRALL DR
Fayetteville, AR 72703
(479) 582-7230
✔ PECOS✔ Accepts Medicare1.0 mi
Nurse Practitioner
NPI 1073351706
3344 N FUTRALL DR
Fayetteville, AR 72703
(479) 521-8200
✔ PECOS✔ Accepts Medicare1.0 mi
Gastroenterology
NPI 1083140164
3344 N FUTRALL DR
Fayetteville, AR 72703
(479) 582-7230
✔ PECOS✔ Accepts Medicare1.0 mi
See all 106 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 04D2079106

Washington Regional Endocrinology · Fayetteville, AR
Active · expires Jun 9, 2028
CLIA Number04D2079106
Laboratory TypePhysician Office
Certificate Effective DateJune 10, 2026
Certificate Expiration DateJune 9, 2028
Laboratory DirectorCatherine R. Kilpatrick
Laboratory Phone(479) 463-7400
Laboratory LocationWashington Regional Endocrinology3 E Appleby Road Ste 202, Fayetteville, AR 72703
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Washington Regional Medical System's NPI number?

The NPI number for Washington Regional Medical System is 1255758868. It was assigned to this organization in the NPPES registry on March 20, 2014. The provider is doing business as Washington Regional Endocrinology.

Where is Washington Regional Medical System located?

Washington Regional Medical System is located at 82 W Sunbridge Dr, Fayetteville, AR 72703. The listed phone number is (479) 463-7400.

What is Washington Regional Medical System's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism, with taxonomy code 207RE0101X.

Is Washington Regional Medical System enrolled in Medicare?

Yes. Washington Regional Medical System is registered in the Medicare PECOS enrollment system.

When is Washington Regional Medical System's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Arkansas, Clinic/Group Practice) is due for revalidation by January 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Washington Regional Medical System?

According to the CMS Revalidation Reassignment List (October 2026 release), 106 clinicians in 18 Medicare specialties reassign their Medicare billing to Washington Regional Medical System. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (31), Family Practice (21) and General Surgery (12). Of these, 67 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Washington Regional Medical System hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 04D2079106) is associated with this NPI, valid through June 9, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Washington Regional Medical System accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 1 other insurer list Washington Regional Medical System as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Washington Regional Medical System was last updated on March 20, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.