Organization Active NPI

L.H. Brandon M.D,.P.a

  • Family Medicine Physician
  • Starkville, MS
National Provider Identifier
1083728836
Registry record updated Jun 27, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
L.H. BRANDON M.D,.P.A
Practice address
501 Hospital Rd
Starkville, MS 39759-2158
Phone
(662) 323-3162
Fax
(662) 323-1711
NPI assigned
Aug 18, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2014

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

Authorized official

Name
Dr. Steven C Brandon, M.D.
Title
President
Phone
(662) 323-3162

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

501 Hospital Rd
Starkville, MS 39759-2158

Mailing address

501 Hospital Rd
Starkville, MS 39759-2158
Phone (662) 323-3162

Other identifiers 1

IdentifierTypeStateIssuer
09015316MedicaidMS

Other names 1

  • The Family Clinic Doing business as

National Provider Directory

National Provider Directory

Locations

114 N Montgomery St
Starkville, MS 39759
Phone (662) 323-4617

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1155859200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1403827200000",
    "number": "1083728836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 HOSPITAL RD",
            "city": "STARKVILLE",
            "state": "MS",
            "postal_code": "397592158",
            "telephone_number": "662-323-3162",
            "fax_number": "662-323-1711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 HOSPITAL RD",
            "city": "STARKVILLE",
            "state": "MS",
            "postal_code": "397592158",
            "telephone_number": "662-323-3162",
            "fax_number": "662-323-1711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "L.H. BRANDON M.D,.P.A",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-18",
        "last_updated": "2014-06-27",
        "status": "A",
        "authorized_official_last_name": "BRANDON",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "662-323-3162",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "09015316",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Family Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Starkville, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2014; 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.