BROOKLIN RYLI FAULKENBERRY PA
NPI 1477418655
Physician Assistant - Surgical in Little Rock, AR

Q: What is Brooklin Faulkenberry's NPI number?

The NPI number for Brooklin Faulkenberry is 1477418655. It was assigned to this individual provider in the NPPES registry on December 18, 2025. The provider is also known as Brooklin R Ewards.

Q: What is Brooklin Faulkenberry's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Active since December 18, 2025PECOS Enrolled

801 COTTAGE DR, LITTLE ROCK, AR 72205(501) 686-8674(501) 526-7217 Get Directions Write a Review

NPPES record last updated: March 9, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 9, 2026, Dec 18, 2025 (2 updates tracked since 2025).

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About Brooklin Ryli Faulkenberry Pa NPPES

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

BROOKLIN RYLI FAULKENBERRY PA (NPI 1477418655) is an individual surgical provider in Little Rock, Arkansas, licensed in Arkansas (PT2026-013) and active in the NPI registry since December 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1477418655

Entity TypeIndividualFemale

Primary Taxonomy363AS0400X

Provider Legal NameBROOKLIN RYLI FAULKENBERRYCredential: PA

Location Address801 COTTAGE DRLittle Rock, AR 72205-5400

Mailing Address4301 W Markham St # 783Little Rock, AR 72205-7101 · (501) 686-8000 · Fax (501) 526-5148

Phone(501) 686-8674

Fax(501) 526-7217

Sole ProprietorNo

Medical School CMSOtherGraduated 2025

Enumeration DateDecember 18, 2025

Last NPPES UpdateMarch 9, 20262 updates tracked since enumeration

NPPES CertifiedMarch 9, 2026

✔ NPI 1477418655 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AS0400X

License✔ Licensed in AR · PT2026-013

801 COTTAGE DR, Little Rock, AR 72205

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Other Names 1

Former Name (1)Brooklin R Ewards

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Brooklin Ryli Faulkenberry Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6103309497

PECOS Enrollment IDI20260315000039

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.

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.

BAILEY J TADLOCK PA

Physician Assistant