Pine Bluff Endoscopy Center, LLC
Pine Bluff Endoscopy Center, LLC is a healthcare organization registered as Endoscopy Clinic/Center in Pine Bluff, AR, holding Type 2 (organization) NPI 1275541427 since 2006. The authorized official on file is O.T. Gordon, Managing Member.
✓ Active NPI ✓ Valid NPI checksum Organization subpart
| NPI | 1275541427 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Pine Bluff Endoscopy Center, LLC |
| Parent organization | Gastroenterology Associates of Southeast Arkansas |
| Practice address | 1609 W 40TH AVE, SUITE 312, Pine Bluff, AR, 71603 |
| Phone | 8705342626 |
| Fax | 8705343517 |
| Enumeration date | 2006-08-04 |
| Last updated in NPPES | 2013-11-25 |
Authorized official
| Name | O.T. Gordon |
|---|---|
| Title | Managing Member |
| Phone | 8705343344 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 261QE0800X | Endoscopy Clinic/Center | Primary | AR4347 | AR |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 161691128 | Medicaid | AR | — |
| P00355592 | Other | AR | RAIL ROAD MEDICARE |
| 11066 | Other | AR | BLUE CROSS BLUE SHIELD |
Copy-ready billing details
Provider: Pine Bluff Endoscopy Center, LLC NPI: 1275541427 Taxonomy: 261QE0800X (Endoscopy Clinic/Center) Address: 1609 W 40TH AVE, SUITE 312, Pine Bluff, AR, 71603
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1740272004 | David Silas | Individual | Neurology Physician | Pine Bluff, AR |
| 1013909316 | Dennis Jacks | Individual | Urology Physician | Pine Bluff, AR |
| 1245222553 | David Lupo | Individual | Urology Physician | Pine Bluff, AR |
| 1992799555 | James Pollard | Individual | Orthopaedic Surgery Physician | Pine Bluff, AR |
| 1336133826 | Heather Leblanc | Individual | Vascular Surgery Physician | Pine Bluff, AR |
| 1891780219 | John Lytle | Individual | Orthopaedic Surgery Physician | Pine Bluff, AR |
| 1043205461 | Charles Clark | Individual | Orthopaedic Surgery Physician | Pine Bluff, AR |
| 1215917075 | P Simpson | Individual | Specialist | Pine Bluff, AR |
Verify this record
Cross-check NPI 1275541427 against the authoritative CMS record: view Pine Bluff Endoscopy Center, LLC on the official NPPES registry .
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. Read the full guide or validate an NPI number.
Frequently asked questions
What type of organization is Pine Bluff Endoscopy Center, LLC?
What is a Type 2 NPI?
Source: CMS NPPES (public data). Snapshot 2026-07-10. Provider record last updated 2013-11-25.