Active NPI
Bradley C Sams MD PA
- Specialist
- Ocean Springs, MS
National Provider Identifier
1144635947
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 16666
- Legal business name
- BRADLEY C SAMS MD PA
- Practice address
- 1001 N Halstead Rd
Ocean Springs, MS 39564-3121 - Phone
- (228) 861-8658
- NPI assigned
- Jul 1, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Bradley Carnell Sams, MD
- Title
- Owner
- Phone
- (228) 818-0416
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 16666 | MS | Primary |
Addresses
Primary practice location
1001 N Halstead Rd
Ocean Springs, MS 39564-3121
Mailing address
1001 N Halstead Rd
Ocean Springs, MS 39564-3121
Phone (228) 861-8658
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00121469 | Medicaid | MS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MS
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Obstetrics & Gynecology Physician
- Ocean Springs, MS
- NPI 1386689404
-
- Obstetrics & Gynecology Physician
- Ocean Springs, MS
- NPI 1134159866
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1404172800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1404172800000",
"number": "1144635947",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1001 N HALSTEAD RD",
"city": "OCEAN SPRINGS",
"state": "MS",
"postal_code": "395643121",
"telephone_number": "228-861-8658"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1001 N HALSTEAD RD",
"city": "OCEAN SPRINGS",
"state": "MS",
"postal_code": "395643121",
"telephone_number": "228-861-8658"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BRADLEY C SAMS MD PA",
"organizational_subpart": "NO",
"enumeration_date": "2014-07-01",
"last_updated": "2014-07-01",
"status": "A",
"authorized_official_last_name": "SAMS",
"authorized_official_first_name": "BRADLEY",
"authorized_official_middle_name": "CARNELL",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "228-818-0416",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Specialist",
"state": "MS",
"license": "16666",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00121469",
"state": "MS"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Ocean Springs, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.