Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Gannon B Randolph, M.D.

Orthopaedic Surgery of the Spine Physician in Bentonville, AR · enumerated 2006 · practices at Ozark Orthopaedics, P.A..

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1528173697

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Registry record

Entity type Individual (Type 1)

Name Gannon B Randolph

Credential M.D.

Sex Male

Practice address 1800 Se Moberly Ln, Bentonville, AR, 72712

Phone (479) 521-2752

Fax (479) 521-4603

Enumeration date Aug 20, 2006

Last updated in NPPES Jul 12, 2021

Taxonomy & licenses

207X00000X Orthopaedic Surgery Physician Allopathic & Osteopathic Physicians · License E5957 (AR) Secondary

207XS0117X Orthopaedic Surgery of the Spine Physician Allopathic & Osteopathic Physicians · License E5957 (AR) Primary

MD · Doctor of Medicine: A physician who completed medical school (allopathic medicine), residency training, and state licensure. About the MD credential

Other identifiers

Identifier	Type	State	Issuer
1176259001	Medicaid	AR	-

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Is NPI 1528173697 active?

Yes, as of the latest NPPES snapshot, NPI 1528173697 is active (record last updated 2021-07-12).

How do I verify Gannon Randolph's NPI record?

Cross-check NPI 1528173697 against the official CMS registry at npiregistry.cms.hhs.gov. This page mirrors the same public NPPES data with a monthly snapshot.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2021-07-12.