The Beach Surgical Group

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

14843 Issued in MS

Legal business name

THE BEACH SURGICAL GROUP

Practice address

952 Green Meadow Rd.
Bay St Louis, MS 39520

Phone

(228) 467-1386

Fax

(228) 467-1770

NPI assigned

Apr 18, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Brian T Anthony, MD

Title

Owner

Phone

(228) 467-1386

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1176854400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1343433600000",
    "number": "1043437684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2548",
            "city": "BAY ST LOUIS",
            "state": "MS",
            "postal_code": "395212548",
            "telephone_number": "228-467-1386",
            "fax_number": "228-467-1770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "952 GREEN MEADOW RD.",
            "city": "BAY ST LOUIS",
            "state": "MS",
            "postal_code": "39520",
            "telephone_number": "228-467-1386",
            "fax_number": "228-467-1770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE BEACH SURGICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-18",
        "last_updated": "2012-07-28",
        "status": "A",
        "authorized_official_last_name": "ANTHONY",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "228-467-1386",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "MS",
            "license": "14843",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DR'S NPI #",
            "identifier": "1356349401",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9015599",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sadie Thurman Slocum, APRN, FNP-C
• Larry Joseph Smith Jr., NBCC
• Katherine Guichet Speaker, NP-C
• Myron Jude Tassin Jr., CRNA
• Byron Dominic Taylor, LPC
• Town Pharmacy and Gifts LLC
• Town Pharmacy and Gifts LLC
• Town Pharmacy and Gifts LLC
• Neilson Vuong Tran, MD
• Sandra Smith Trumbach, NNP BC

• Clinic/Center in Bay St Louis, MS
• Providers in Bay St Louis, MS by specialty
• Clinic/Center in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2012; 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.