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Pine Bluff Surgical Clinic, Inc

Specialist in Pine Bluff, AR · enumerated 2007 · authorized official George Roberson, President.

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

National Provider Identifier

1821148586

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Registry record

Entity type Organization (Type 2)
Legal business name Pine Bluff Surgical Clinic, Inc
Other name <Unavail>
Practice address 316 W 6th Ave, Pine Bluff, AR, 71601
Fax (870) 850-6482
Enumeration date Jan 12, 2007
Last updated in NPPES Apr 29, 2009

Taxonomy & classification

174400000X Specialist Other Service Providers · License R1682 (AR) Primary

Authorized official

Name George Roberson
Title President

Other identifiers

Identifier Type State Issuer
103023002 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

What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.
What type of organization is Pine Bluff Surgical Clinic, Inc?
Pine Bluff Surgical Clinic, Inc is registered in NPPES as a Specialist (its primary provider taxonomy).

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2009-04-29.