Search › Arkansas › 207RC0001X
Van De Bruyn, M.D
NPI 1871518522 · on the registry since 2006
Practice
- Address
- 11220 Executive Center Dr Ste 200
Little Rock, AR 72211 - Phone
- (501) 399-4212
- Fax
- (501) 868-7551
- Organisation at this address
- Mission Properties Group, Llc
Advanced Spine And Pain Centers, Inc.
Executive Surgery Center Of Little Rock, LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 3
Additional practice sites
- 1000 Hwy 35 N, Benton, AR
Registry record
- Primary taxonomy
- 207RC0001X
207RC0001X
- Also registered as
- 207RC0000X
- Licence states on file
- AR
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2019-01-12
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Arkansas