Active NPI
Crossgates Family Doctors
- Family Medicine Physician
- Brandon, MS
National Provider Identifier
1083952246
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- CROSSGATES FAMILY DOCTORS
- Practice address
- 395 Crossgates Blvd
Ste 102
Brandon, MS 39042-2768 - Phone
- (601) 825-0003
- NPI assigned
- Jan 23, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- William F Krooss II, MD
- Title
- Managing Partner
- Phone
- (601) 932-3191
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary |
Addresses
Primary practice location
395 Crossgates Blvd
Ste 102
Brandon, MS 39042-2768
Mailing address
PO Box 320609
Flowood, MS 39232-0609
Phone (601) 932-3191
National Provider Directory
National Provider DirectoryLocations
395 Crossgates Blvd
Ste 102
Brandon, MS 39042
Phone (601) 825-0003
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1358899200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1358899200000",
"number": "1083952246",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 320609",
"city": "FLOWOOD",
"state": "MS",
"postal_code": "392320609",
"telephone_number": "601-932-3191"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "395 CROSSGATES BLVD",
"address_2": "STE 102",
"city": "BRANDON",
"state": "MS",
"postal_code": "390422768",
"telephone_number": "601-825-0003"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CROSSGATES FAMILY DOCTORS",
"organizational_subpart": "NO",
"enumeration_date": "2013-01-23",
"last_updated": "2013-01-23",
"status": "A",
"authorized_official_last_name": "KROOSS",
"authorized_official_first_name": "WILLIAM",
"authorized_official_middle_name": "F",
"authorized_official_title_or_position": "MANAGING PARTNER",
"authorized_official_telephone_number": "601-932-3191",
"authorized_official_name_suffix": "II",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brandon, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 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.