NPIMap

Individual provider Active NPI

Kurt F. Bruckmeier, M.D.

  • Geriatric Medicine (Internal Medicine) Physician
  • Hattiesburg, MS
National Provider Identifier
1083610117
Registry record updated May 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X
License
09945 Issued in MS
Practice address
101 Asbury Cir
Hattiesburg, MS 39402-1302
Phone
(601) 268-5200
Fax
(601) 268-5211
NPI assigned
Jun 23, 2005
Last updated
May 15, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 15, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 09945 MS
Geriatric Medicine (Internal Medicine) Physician 207RG0300X 09945 MS Primary

Addresses

Primary practice location

101 Asbury Cir
Hattiesburg, MS 39402-1302

Mailing address

101 Asbury Cir
Hattiesburg, MS 39402-1302
Phone (601) 268-5200

Other practice location 1

1102 Constitution Ave
Meridian, MS 39301-4001
Phone (601) 703-5000

Other practice location 2

2124 14th St
Meridian, MS 39301-4040
Phone (601) 553-6000

Other identifiers 2

IdentifierTypeStateIssuer
P00064618OtherRAILROAD MEDICARE
00016251MedicaidMS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070105000488 MS Practitioner - Internal MedicinePractitioner - Geriatric Medicine 1658371265 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Geriatric Medicine
Education
University of Mississippi School of Medicine, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hospitalist Services of Meridian PAGroup PAC ID 3274818042, 41 clinicians
Dumont Physician Services LLCGroup PAC ID 6800385576, 44 clinicians
Hattiesburg HB Medical Services LLCGroup PAC ID 6507220167, 27 clinicians

Practice addresses (Care Compare)

2124 14TH St
Meridian, MS 39301-4040
Phone (601) 553-6000

5001 Hardy St
Hattiesburg, MS 39402-1308
Phone (601) 286-2090

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
88.07 of 100Reported as apm
Quality
73.89
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
70.62 of 100Reported as group
Quality
39.81
Improvement activities
40
Cost
80.88

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
09945MSMDGeriatric Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Vicksburg Healthcare LLC CurrentSince Oct 5, 2012 Accepting new patients
Wesley Physician Services LLC Internal Medicine CurrentSince Jan 1, 2010 Accepting new patients
Vicksburg Healthcare LLC CurrentSince Oct 5, 2012 Accepting new patients
Hattiesburg HB Medical Services LLC CurrentSince Apr 17, 2025 Accepting new patients
Anderson Physician Alliance, Inc. Internal Medicine CurrentSince Mar 1, 2025 Accepting new patients
Urology Clinic of Meridian, P.a. Current Accepting new patients
Dumont Physician Services LLC Internal Medicine CurrentSince Dec 2, 2025 Accepting new patients
Pacific Physician Services, LLC Past Accepting new patients
QHG of Hattiesburg Inc Past Accepting new patients
South Mississippi Intraoperative Monitoring, LLC PastSince Jul 10, 2006 Accepting new patients
Anderson Regional Medical Center Past Accepting new patients
Cogent Healthcare of Jackson Ms, LLC Internal Medicine Past Accepting new patients
Pine Belt Anesthesia, LLC Past Accepting new patients
Wesley Health System LLC Past Accepting new patients

Locations

101 Asbury Cir
Hattiesburg, MS 39402
Phone (601) 268-5200

103 Asbury Cir
Hattiesburg, MS 39402
Phone (601) 268-5150

5001 Hardy St
Hattiesburg, MS 39402
Phone (601) 268-8000

514 Bay St
Hattiesburg, MS 39401
Phone (601) 544-4230

1102 Constitution Ave
Meridian, MS 39301
Phone (601) 693-2511

1600 22nd Ave
Meridian, MS 39301
Phone (601) 483-5322

2124 14th St
Meridian, MS 39301
Phone (601) 483-8811

2100 Highway 61 N
Vicksburg, MS 39183
Phone (601) 883-5001

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/1930/brand/2/csg/102/fhir/r4
  • Direct secure messaging: kbruckmeier627437@direct.bmhcc.org
  • Direct secure messaging: kurt.bruckmeier.3@1930.direct.athenahealth.com
  • Direct secure messaging: kurt.bruckmeier.4@1930.direct.athenahealth.com

Organizations & group practices 15

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 15

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1119484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747267200000",
    "number": "1083610117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 ASBURY CIR",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "394021302",
            "telephone_number": "601-268-5200",
            "fax_number": "601-268-5211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 ASBURY CIR",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "394021302",
            "telephone_number": "601-268-5200",
            "fax_number": "601-268-5211"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1102 Constitution Ave",
            "address_purpose": "LOCATION",
            "city": "Meridian",
            "state": "MS",
            "postal_code": "393014001",
            "country_code": "US",
            "telephone_number": "601-703-5000",
            "fax_number": "601-703-0124",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2124 14th St",
            "address_purpose": "LOCATION",
            "city": "Meridian",
            "state": "MS",
            "postal_code": "393014040",
            "country_code": "US",
            "telephone_number": "601-553-6000",
            "fax_number": "601-703-0124",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRUCKMEIER",
        "first_name": "KURT",
        "middle_name": "F.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-23",
        "last_updated": "2025-05-15",
        "certification_date": "2025-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MS",
            "license": "09945",
            "primary": false
        },
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "MS",
            "license": "09945",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00064618",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00016251",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hattiesburg, MS

Sources for this page

Verify at the official NPI Registry.