Active NPI
Burin Nuchniyom, M.D.
- Internal Medicine Physician
- Ridgeland, MS
National Provider Identifier
1124075502
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- C52887
- Practice address
- 604 Muirwood Cir
Ridgeland, MS 39157-3624 - Phone
- (601) 668-5850
- NPI assigned
- May 30, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | C52887 | CA | Primary |
| Emergency Medicine Physician | 207P00000X | 15550 | MS |
Addresses
Primary practice location
604 Muirwood Cir
Ridgeland, MS 39157-3624
Mailing address
604 Muirwood Cir
Ridgeland, MS 39157-3624
Phone (601) 668-5850
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00119043 | Medicaid | MS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C52887 | CA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Finest Emergency Physicians | Emergency Medicine | Past | Accepting new patients |
| Lefleur Emergency Physicians | Emergency Medicine | Past | Accepting new patients |
| River Oaks Management Company LLC | Internal Medicine | Past | Accepting new patients |
| Independent Healthcare Management, Inc. | Past | Accepting new patients | |
| United Emergency Services, Inc. | Emergency Medicine | Past | Accepting new patients |
Organizations & group practices 5
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.
-
- Critical Access Hospital
- Forest, MS
- NPI 1306909734
-
- Emergency Medicine Physician
- Jackson, MS
- NPI 1891985420
-
- Family Medicine Physician
- Jackson, MS
- NPI 1922029040
Internal Medicine
-
- Emergency Medicine Physician
- Booneville, MS
- NPI 1326007915
-
- Emergency Medicine Physician
- Clearwater, FL
- NPI 1609026681
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148947200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1311292800000",
"number": "1124075502",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "604 MUIRWOOD CIR",
"city": "RIDGELAND",
"state": "MS",
"postal_code": "391573624",
"telephone_number": "601-668-5850"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "604 MUIRWOOD CIR",
"city": "RIDGELAND",
"state": "MS",
"postal_code": "391573624",
"telephone_number": "601-668-5850"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NUCHNIYOM",
"first_name": "BURIN",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-05-30",
"last_updated": "2011-07-22",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CA",
"license": "C52887",
"primary": true
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "MS",
"license": "15550",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00119043",
"state": "MS"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Ridgeland, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.