Organization Active NPI

Regional Digestive Specialists, P.C.

  • Gastroenterology Physician
  • Biloxi, MS
National Provider Identifier
1033155676
Registry record updated Jun 4, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
Legal business name
REGIONAL DIGESTIVE SPECIALISTS, P.C.
Practice address
15012 Lemoyne Blvd
Biloxi, MS 39532-5205
Phone
(228) 392-5787
Fax
(228) 354-9169
NPI assigned
Jun 21, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2013

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

Authorized official

Name
Bridget Logan
Title
Administrator
Phone
(228) 875-3033

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RG0100X Primary

Addresses

Primary practice location

15012 Lemoyne Blvd
Biloxi, MS 39532-5205

Mailing address

4511 Hospital St
Pascagoula, MS 39581-5336
Phone (228) 769-7791

Other identifiers 1

IdentifierTypeStateIssuer
9015380MedicaidMS

National Provider Directory

National Provider Directory

Locations

1129 Ocean Springs Rd
Ocean Springs, MS 39564
Phone (228) 254-1366

4511 Hospital St
Pascagoula, MS 39581
Phone (228) 769-7791

NPI Registry JSON

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

{
    "created_epoch": "1150848000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1370304000000",
    "number": "1033155676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4511 HOSPITAL ST",
            "city": "PASCAGOULA",
            "state": "MS",
            "postal_code": "395815336",
            "telephone_number": "228-769-7791",
            "fax_number": "228-769-7747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15012 LEMOYNE BLVD",
            "city": "BILOXI",
            "state": "MS",
            "postal_code": "395325205",
            "telephone_number": "228-392-5787",
            "fax_number": "228-354-9169"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REGIONAL DIGESTIVE SPECIALISTS, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-21",
        "last_updated": "2013-06-04",
        "status": "A",
        "authorized_official_last_name": "LOGAN",
        "authorized_official_first_name": "BRIDGET",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "228-875-3033"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9015380",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Biloxi, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.