New Albany Surgical Group PA

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

8661 Issued in MS

Legal business name

NEW ALBANY SURGICAL GROUP PA

Practice address

226 Starlyn Ave
New Albany, MS 38652-2428

Phone

(662) 534-8159

NPI assigned

Oct 5, 2006

Organization subpart

No

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

Authorized official

Name

Bruce Allan Bullwinkel, M.D.

Title

Physician

Phone

(662) 534-8159

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

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

• Harvey F Mason, MD

  • Surgery Physician
  • New Albany, MS
  • NPI 1154329860

  Surgery

  NPD (past)

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

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196208000000",
    "number": "1093801367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "226 STARLYN AVE",
            "address_2": "P.O. BOX 891",
            "city": "NEW ALBANY",
            "state": "MS",
            "postal_code": "386522428",
            "telephone_number": "662-534-8159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "226 STARLYN AVE",
            "city": "NEW ALBANY",
            "state": "MS",
            "postal_code": "386522428",
            "telephone_number": "662-534-8159"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW ALBANY SURGICAL GROUP PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-05",
        "last_updated": "2007-11-28",
        "status": "A",
        "authorized_official_last_name": "BULLWINKEL",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_middle_name": "ALLAN",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "662-534-8159",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "MS",
            "license": "8661",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "09011230",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kelli Mullen, OD
• Nadc PLLC
• Ashley Jessica Nanney, FNP-C
• New Albany Medical Clinic
• New Albany OB/GYN Clinic PC
• New Albany Urology, PLLC
• New Albany Vision Clinic, P.a.
• North Delta Hospice of New Albany LLC
• North Mississippi Allergy and Asthma Center PLLC
• North Mississippi Foot Specialists PC

• All providers in New Albany, MS
• Surgery Physician in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2007; 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.