Robert Charles Buckley, MD

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

License

12823 Issued in MS

Practice address

499 Gloster Creek VLG Ste D4
Tupelo, MS 38801-4711

Phone

(662) 377-6630

Fax

(662) 377-6635

NPI assigned

Jan 30, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MS

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Plastic and Reconstructive Surgery

Education

University of Mississippi School of Medicine, 1990

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• North Mississippi Medical Center Hospital, Tupelo, MS, CCN 250004

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: robertbuckley@nmhs.medalliesdirect.net

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

• Tupelo Plastic Surgery Clinic of Tupelo PA

  • Plastic Surgery Physician
  • Tupelo, MS
  • NPI 1649381104
  Medicare reassignment NPD Authorized official
• North Mississippi Medical Center

  • General Acute Care Hospital
  • Tupelo, MS
  • NPI 1376969683
  NPD
• North Mississippi Ambulatory Surgery Center LLC

  • Ambulatory Surgical Clinic/Center
  • Tupelo, MS
  • NPI 1235240813
  NPD (past)
• Surgery Clinic of Tupelo PA

  • Surgery Physician
  • Tupelo, MS
  • NPI 1346211539
  NPD (past)
• St. Francis Hospital and Health Centers

  dba Urology Specialist at St. Francis

  • Urology Physician
  • Indianapolis, IN
  • NPI 1790937266
  NPD (past)
• Surgery Clinic of Tupelo PA

  • Surgery Physician
  • Hamilton, AL
  • NPI 1023589017
  NPD (past)

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

• North Mississippi Medical Center, Inc.

  dba North Mississippi Medical Center

  • General Acute Care Hospital
  • Tupelo, MS
  • NPI 1598875460
  Care Compare affiliation

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

{
    "created_epoch": "1138579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605744000000",
    "number": "1093786980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 E PRESIDENT AVE",
            "city": "TUPELO",
            "state": "MS",
            "postal_code": "388015599",
            "telephone_number": "662-377-4685",
            "fax_number": "662-377-2755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "499 GLOSTER CREEK VLG STE D4",
            "city": "TUPELO",
            "state": "MS",
            "postal_code": "388014711",
            "telephone_number": "662-377-6630",
            "fax_number": "662-377-6635"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUCKLEY",
        "first_name": "ROBERT",
        "middle_name": "CHARLES",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-30",
        "last_updated": "2020-11-19",
        "certification_date": "2020-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "MS",
            "license": "12823",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00110707",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Peyton Hope Bryant, RN
• John Paul Bryson, DDS
• BTB Orthotic and Prosthetic Solutions LLC (Premier Orthotic and Prosthetic Solutions)
• Donna Buchanan, OT
• Virginia Buchanan
• Tennisha Buckner
• Melissa Bukovi
• Rickey H Bullard, DPM
• Vicki Lindsay Bullwinkel, PHD
• Marcus Blake Burcham, PHARM.D.

• Plastic Surgery Physician in Tupelo, MS
• Providers in Tupelo, MS by specialty
• Plastic Surgery Physician in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.