1St Step Medical PC

Primary specialty

Addiction Medicine (Family Medicine) PhysicianTaxonomy code 207QA0401X

License

28794 Issued in MS

Legal business name

1ST STEP MEDICAL PC

Practice address

3104 Adams Farm Rd
Belden, MS 38826-7020

Phone

(662) 322-0996

Fax

(662) 205-4203

NPI assigned

Jul 14, 2016

Organization subpart

No

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

Authorized official

Name

Mrs. Brenda Lynn Ostrander

Title

Office Manger

Phone

(662) 322-0996

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1468454400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1468454400000",
    "number": "1124471131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 427",
            "city": "BELDEN",
            "state": "MS",
            "postal_code": "388260427",
            "telephone_number": "662-322-0996",
            "fax_number": "662-205-4203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3104 ADAMS FARM RD",
            "city": "BELDEN",
            "state": "MS",
            "postal_code": "388267020",
            "telephone_number": "662-322-0996",
            "fax_number": "662-205-4203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "1ST STEP MEDICAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-14",
        "last_updated": "2016-07-14",
        "status": "A",
        "authorized_official_last_name": "OSTRANDER",
        "authorized_official_first_name": "BRENDA",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "OFFICE MANGER",
        "authorized_official_telephone_number": "662-322-0996",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207QA0401X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine, Addiction Medicine",
            "state": "MS",
            "license": "28794",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Advantage Medical Equipment, LLC
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• Christoph Alexander Bergmann, M.D.
• Boa Vida Hospital of Aberdeen, Ms LLC
• Boa Vida Hospital of Aberdeen, Ms LLC

• Addiction Medicine (Family Medicine) Physician in Belden, MS
• Providers in Belden, MS by specialty
• Addiction Medicine (Family Medicine) Physician in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2016; 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.