DR. BRETT RUSTON JAMES MD
NPI 1881330850
Emergency Medicine in Little Rock, AR

Active since May 11, 2022PECOS EnrolledAccepts Medicare Assignment
4301 W MARKHAM ST # 584, LITTLE ROCK, AR 72205(501) 526-2085(501) 526-5059 Get Directions Write a Review

NPPES record last updated: June 20, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jun 20, 2025, May 11, 2022 (2 updates tracked since 2022).

About Dr. Brett Ruston James Md NPPES

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

DR. BRETT RUSTON JAMES MD (NPI 1881330850) is an individual emergency medicine provider in Little Rock, Arkansas, licensed in Arkansas (E-19508) and active in the NPI registry since May 2022. He is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1881330850
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameDR. BRETT RUSTON JAMESCredential: MD
Location Address4301 W MARKHAM ST # 584Little Rock, AR 72205-7101
Mailing Address4301 W Markham St # 783Little Rock, AR 72205-7101 · (501) 686-8000 · Fax (501) 526-5148
Fax(501) 526-5059
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateMay 11, 2022
Last NPPES UpdateJune 20, 20252 updates tracked since enumeration
NPPES CertifiedJune 20, 2025
✔ NPI 1881330850 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in AR · E-19508
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
4301 W MARKHAM ST # 584, Little Rock, AR 72205

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Brett Ruston James Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4789062621
PECOS Enrollment IDI20250627001655
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.

Medicare Billing Reassignments

3

Medicare enrollment records show Brett James reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Advanced Practice Midwife
4301 W MARKHAM ST # 783
Little Rock, AR 72205
  • Reassigned Medicare billing, Arkansas enrollment
  • 2,038 clinicians in this Medicare group
Emergency Medicine
2215 WILDWOOD AVE
Sherwood, AR 72120
  • Reassigned Medicare billing, Arkansas enrollment
  • 103 clinicians in this Medicare group
Hospitalist
3215 N NORTH HILLS BLVD
Fayetteville, AR 72703
  • Reassigned Medicare billing, Arkansas enrollment
  • 123 clinicians in this Medicare group

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 72205 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.

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.

Emergency Medicine
4301 W MARKHAM ST # 584
LITTLE ROCK, AR 72205
Student in an Organized Health Care Education/Training Program
4301 W MARKHAM ST # 584
LITTLE ROCK, AR 72205
Student in an Organized Health Care Education/Training Program
4301 W MARKHAM ST # 584
LITTLE ROCK, AR 72205
Emergency Medicine
4301 W MARKHAM ST # 584
LITTLE ROCK, AR 72205
Internal Medicine (Critical Care Medicine)
4301 W MARKHAM ST # 584
LITTLE ROCK, AR 72205
Emergency Medicine
4301 W MARKHAM ST # 584
LITTLE ROCK, AR 72205
Physician Assistant
4301 W MARKHAM ST # 584
LITTLE ROCK, AR 72205
Emergency Medicine
4301 W MARKHAM ST # 584
LITTLE ROCK, AR 72205

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 Brett James's NPI number?

The NPI number for Brett James is 1881330850. It was assigned to this individual provider in the NPPES registry on May 11, 2022.

Where is Brett James located?

Brett James practices at 4301 W Markham St # 584, Little Rock, AR 72205. The listed phone number is (501) 526-2085.

What is Brett James's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Brett James enrolled in Medicare?

Yes. Brett James is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Brett James's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Brett James reassigns Medicare benefits to 3 organizations: University Of Arkansas For Medical Sciences (Little Rock, AR), Shiloh Emergency Group PLLC (Sherwood, AR) and Washington Regional Medical System (Fayetteville, AR). Each 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 Brett James's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Brett James accept?

Health plans from Arkansas Blue Cross and Blue Shield, Health Advantage and Octave list Brett James 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 Brett James was last updated on June 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.