Bryan F McCraw, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

09154 Issued in MS

Practice address

914 Sumrall Rd
Columbia, MS 39429-2652

Phone

(601) 731-1470

Fax

(601) 731-1474

NPI assigned

Jul 26, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Internal Medicine Clinic of Columbia, P.a.

  • Rural Health Clinic/Center
  • Columbia, MS
  • NPI 1205858263
  Authorized official Same address or phone

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

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1174547954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "914 SUMRALL RD",
            "city": "COLUMBIA",
            "state": "MS",
            "postal_code": "394292652",
            "telephone_number": "601-731-1470",
            "fax_number": "601-731-1474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "914 SUMRALL RD",
            "city": "COLUMBIA",
            "state": "MS",
            "postal_code": "394292652",
            "telephone_number": "601-731-1470",
            "fax_number": "601-731-1474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCRAW",
        "first_name": "BRYAN",
        "middle_name": "F",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MS",
            "license": "09154",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00013369",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Raeisha Mattix, RN
• Matthew Mattox, P.T.
• Kelsey Landgraf May, PHARMD
• MC Medical, Inc.
• Daryn Michael McArthur, LPTA
• Joshua McDade, CAT
• Jessica Amanda McKenzie, FNP
• Lala McKenzie, IDD WAIVER SERVICES
• Shelley McKenzie, LMSW
• Susan Lorenda McLendon, LPN

• Internal Medicine Physician in Columbia, MS
• Providers in Columbia, MS by specialty
• Internal Medicine Physician in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.