Individual provider · Type 1 NPI

Brooklin Ryli Faulkenberry, PA

Surgical Physician Assistant · Little Rock, AR

NPI number 1477418655 Active

Practice location

801 Cottage Dr
Little Rock, AR 72205-5400

Fax (501) 526-7217

Mailing address

4301 W Markham St # 783
Little Rock, AR 72205-7101

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400XPT2026-013 (AR)

Surgical Physician Assistant: Definition to come...

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About NPI 1477418655

Brooklin Ryli Faulkenberry, PA's National Provider Identifier is 1477418655, issued on Dec 18, 2025. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Little Rock, AR. The record was last updated on Mar 9, 2026.