NPIMap

Organization Active NPI

Edward E. Rigdon, M.D., Inc.

  • Vascular Surgery Physician
  • Brandon, MS
National Provider Identifier
1144524596
Registry record updated Dec 28, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
08412 Issued in MS
Legal business name
EDWARD E. RIGDON, M.D., INC.
Practice address
348 Crossgates Blvd
Suite 2500
Brandon, MS 39042-2700
Phone
(601) 825-1975
Fax
(601) 825-4127
NPI assigned
Dec 28, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2010

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

Authorized official

Name
Dr. Edward E Rigdon, M.D.
Title
President
Phone
(601) 825-1975

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2086S0129X 08412 MS Primary

Addresses

Primary practice location

348 Crossgates Blvd
Suite 2500
Brandon, MS 39042-2700

Mailing address

PO Box 6019
Brandon, MS 39047-3919
Phone (601) 825-1975

Other identifiers 1

IdentifierTypeStateIssuer
00121392MedicaidMS

National Provider Directory

National Provider Directory

Locations

348 Crossgates Blvd
Ste 2500
Brandon, MS 39042
Phone (601) 825-0075

NPI Registry JSON

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

{
    "created_epoch": "1293494400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1293494400000",
    "number": "1144524596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6019",
            "city": "BRANDON",
            "state": "MS",
            "postal_code": "390473919",
            "telephone_number": "601-825-1975",
            "fax_number": "601-825-4127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "348 CROSSGATES BLVD",
            "address_2": "SUITE 2500",
            "city": "BRANDON",
            "state": "MS",
            "postal_code": "390422700",
            "telephone_number": "601-825-1975",
            "fax_number": "601-825-4127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDWARD E. RIGDON, M.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-28",
        "last_updated": "2010-12-28",
        "status": "A",
        "authorized_official_last_name": "RIGDON",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "601-825-1975",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery, Vascular Surgery",
            "state": "MS",
            "license": "08412",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00121392",
            "state": "MS"
        }
    ],
    "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 Dec 28, 2010; 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.