NPIMap

Organization Active NPI

NRMC Physician Ipa Inc

Doing business as NRMC Cancer Associates

  • Radiation Oncology Physician
  • Natchitoches, LA
National Provider Identifier
1003484114
Registry record updated Jun 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
Legal business name
NRMC PHYSICIAN IPA INC
Doing business as
NRMC Cancer Associates
Practice address
211 Medical Dr
Natchitoches, LA 71457-6052
Phone
(318) 238-3322
Fax
(318) 214-4633
NPI assigned
Jun 15, 2021
Last updated
Jun 15, 2021By the provider in NPPES
Organization subpart
Yes
Parent organization
NRMC PHYSICIAN IPA INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 15, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
William Bradford McCormick
Title
CFP
Phone
(318) 214-4350

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology Physician 2085R0001X NU Primary

Addresses

Primary practice location

211 Medical Dr
Natchitoches, LA 71457-6052

Mailing address

PO Box 2475
Natchitoches, LA 71457-2475
Phone (318) 214-5770

Other names 1

  • NRMC Cancer Associates Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170808001651 LA Part B Supplier - Clinic/Group Practice 9234400300 Receives reassigned benefits from 44 practitioners
7 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Natchitoches, LA

Other NPIs on the same Medicare enrollment 7

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
NRMC Physician Ipa Inc5 organizations share this tax ID, including this one
Part of
NRMC Physician Ipa Inc

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1623715200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1623715200000",
    "number": "1003484114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2475",
            "city": "NATCHITOCHES",
            "state": "LA",
            "postal_code": "714572475",
            "telephone_number": "318-214-5770",
            "fax_number": "318-214-4633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 MEDICAL DR",
            "city": "NATCHITOCHES",
            "state": "LA",
            "postal_code": "714576052",
            "telephone_number": "318-238-3322",
            "fax_number": "318-214-4633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NRMC PHYSICIAN IPA INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NRMC PHYSICIAN IPA INC",
        "enumeration_date": "2021-06-15",
        "last_updated": "2021-06-15",
        "certification_date": "2021-06-15",
        "status": "A",
        "authorized_official_last_name": "MCCORMICK",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "BRADFORD",
        "authorized_official_title_or_position": "CFP",
        "authorized_official_telephone_number": "318-214-4350"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NRMC Cancer Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Natchitoches, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.