DR. BRODERICK EATON DO
NPI 1992115646
Family Medicine in Wynne, AR
About Dr. Broderick Eaton Do NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. BRODERICK EATON DO (NPI 1992115646) is an individual family medicine provider in Wynne, Arkansas, licensed in Arkansas (E-9395) and active in the NPI registry since May 2014. He is enrolled in Medicare PECOS, maintains a secondary practice location in Jonesboro, and is a graduate of William Carey University College Of Osteopathic Medicine (2014).
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Other Identifiers 1
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. Broderick Eaton Do 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.
Medicare Billing Reassignments
2Medicare enrollment records show Broderick Eaton reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Wynne, AR 72396
- Reassigned Medicare billing, Arkansas, Kentucky and Mississippi enrollments
- Also billed through NPI 1275635542 (Mississippi)
- 266 clinicians in this Medicare group
Searcy, AR 72143
- Reassigned Medicare billing, Arkansas enrollment
- 208 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.
Areas of Expertise CMS Part B claims 2
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 72396 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Referred Medical Equipment & Supplies CMS DME claims 6
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
Other Providers at the Same Location NPPES 6
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Broderick Eaton's NPI number?
The NPI number for Broderick Eaton is 1992115646. It was assigned to this individual provider in the NPPES registry on May 3, 2014.
Where is Broderick Eaton located?
Broderick Eaton practices at 601 Julia Ave E, Wynne, AR 72396. The listed phone number is (870) 238-0377.
What is Broderick Eaton's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Broderick Eaton enrolled in Medicare?
Yes. Broderick Eaton 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 Broderick Eaton's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Broderick Eaton reassigns Medicare benefits to 2 organizations: Arcare (Wynne, AR) and Urgent Team Of Arkansas Physicians, LLC (Searcy, 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 Broderick Eaton's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Broderick Eaton accept?
Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter of Alabama and Ambetter of Tennessee and 3 other insurers list Broderick Eaton 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 Broderick Eaton was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Dr. Broderick Eaton, DO · NPI 1992115646
Family Medicine physician in Wynne, Arkansas. Individual provider, active in the CMS NPPES registry since May 3, 2014.
## Identity
- **NPI:** 1992115646 (Entity type: Individual)
- **Enumerated:** May 3, 2014
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** E-9395 (Arkansas)
- **Sole proprietor:** No
## Practice location
- **Address:** 601 JULIA AVE E, Wynne, AR 72396-3506
- **Phone:** (870) 238-0377
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Arcare (NPI 1487615183, Wynne, AR); Urgent Team Of Arkansas Physicians, LLC (NPI 1992041370, Searcy, AR) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** William Carey University College Of Osteopathic Medicine, class of 2014
## Record status
- **NPPES last updated:** July 21, 2022
- **Other identifiers:** Medicaid 214324003 (AR)
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Source: [NPI Profile](https://npiprofile.com/npi/1992115646) · Data from the CMS NPPES public registry.