1982744348 NPI number — HATTIESBURG NEONATOLOGY, PLLC

Table of content: (NPI 1982744348)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1982744348 NPI number — HATTIESBURG NEONATOLOGY, PLLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
HATTIESBURG NEONATOLOGY, PLLC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1982744348
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
10/28/2011
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
5003 HARDY ST
Provider Second Line Business Mailing Address:
SUITE 302
Provider Business Mailing Address City Name:
HATTIESBURG
Provider Business Mailing Address State Name:
MS
Provider Business Mailing Address Postal Code:
39402-1319
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
601-268-5221
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
5003 HARDY ST
Provider Second Line Business Practice Location Address:
SUITE 302
Provider Business Practice Location Address City Name:
HATTIESBURG
Provider Business Practice Location Address State Name:
MS
Provider Business Practice Location Address Postal Code:
39402-1319
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
601-268-5221
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
02/07/2007

Additional Information

Authorized Official

Authorized Official Last Name:
BRINSON
Authorized Official First Name:
R.
Authorized Official Middle Name:
ALAN
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
601-268-5221

Provider Taxonomy Codes

  • Taxonomy code: 2080N0001X , with the licence number:  001004101 , registered in the state of MS ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 00114976 , issued by the state of ( MS ) . This identifiers is of the category "MEDICAID".
  • Identifier: 01982035 , issued by the state of ( MS ) . This identifiers is of the category "MEDICAID".
  • Identifier: 1891743928 . This is a "R. ALAN BRINSON, MD - NPI" identifier , issued by the state of ( MS ) . This identifiers is of the category "OTHER".




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