Pine Bluff Surgical Clinic, Inc
Pine Bluff Surgical Clinic, Inc is a healthcare organization registered as Specialist in Pine Bluff, AR, holding Type 2 (organization) NPI 1821148586 since 2007. The authorized official on file is George Roberson, President.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1821148586 |
|---|---|
| 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 |
| Phone | 8708506053 |
| Fax | 8708506482 |
| Enumeration date | 2007-01-12 |
| Last updated in NPPES | 2009-04-29 |
Authorized official
| Name | George Roberson |
|---|---|
| Title | President |
| Phone | 8708506053 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 174400000X | Specialist | Primary | R1682 | AR |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 103023002 | Medicaid | AR | — |
Copy-ready billing details
Provider: Pine Bluff Surgical Clinic, Inc NPI: 1821148586 Taxonomy: 174400000X (Specialist) Address: 316 W 6TH AVE, Pine Bluff, AR, 71601
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1548206543 | Delta Diagnostic & Therapeutic Rad | Organization | Diagnostic Radiology Physician | Pine Bluff, AR |
| 1952420846 | Living Hope Medical Services | Organization | Psychiatry Physician | Pine Bluff, AR |
Verify this record
Cross-check NPI 1821148586 against the authoritative CMS record: view Pine Bluff Surgical Clinic, Inc 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 is a Type 2 NPI?
What type of organization is Pine Bluff Surgical Clinic, Inc?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2009-04-29.