Individual provider Active NPI

Bryan D Propes, M.D.

  • Ophthalmology Physician
  • Jackson, MS
National Provider Identifier
1174594675
Registry record updated Aug 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
D67835 Issued in MD
Practice address
1200 N State St Ste 300
Jackson, MS 39202-2027
Phone
(410) 955-5000
NPI assigned
Feb 1, 2006
Last updated
Aug 21, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 0101233570 VA
Ophthalmology Physician 207W00000X D67835 MD Primary

Addresses

Primary practice location

1200 N State St Ste 300
Jackson, MS 39202-2027

Mailing address

1200 N State St Ste 300
Jackson, MS 39202-2027
Phone (601) 981-4091

Other identifiers 1

IdentifierTypeStateIssuer
018548500MedicaidMD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230822000739 MS Practitioner - Ophthalmology 4981763901 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Creighton University School of Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mississippi Retina Associates,PLLCGroup PAC ID 4880590330, 7 clinicians

Practice addresses (Care Compare)

1026 Baptist Cir
Suite 400
Madison, MS 39110-2033
Phone (601) 981-4091

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
0101233570VAMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
State of Mississippi - University of Mississippi Medical Center Current Accepting new patients
State of Mississippi - University of Mississippi Medical Center CurrentSince Aug 30, 2024 Accepting new patients
Mississippi Retina Associates,PLLC Ophthalmology CurrentSince Aug 1, 2023 Accepting new patients
State of Mississippi-University of Mississippi Medical Center CurrentSince Aug 30, 2024 Accepting new patients
Mississippi ASC JV LLC PastSince Nov 12, 2023 Accepting new patients
Physicians Anesthesia Group Staffing, LLC PastSince Aug 1, 2023 Accepting new patients

Locations

1200 N State St
Ste 300
Jackson, MS 39202
Phone (601) 981-4091

2500 N State St
Jackson, MS 39216
Phone (601) 815-4775

1026 Baptist Cir
Madison, MS 39110

1026 Baptist Cir
Ste 400
Madison, MS 39110
Phone (601) 981-4091

1026 Baptist Cir
Ste 401
Madison, MS 39110
Phone (601) 981-4091

Interoperability endpoints

  • Direct secure messaging: bpropes@msretina.intellechartdirect.net

Organizations & group practices 6

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1138752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692576000000",
    "number": "1174594675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 N STATE ST STE 300",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392022027",
            "telephone_number": "601-981-4091",
            "fax_number": "601-981-5039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 N STATE ST STE 300",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392022027",
            "telephone_number": "410-955-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PROPES",
        "first_name": "BRYAN",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-01",
        "last_updated": "2023-08-21",
        "certification_date": "2023-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "VA",
            "license": "0101233570",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MD",
            "license": "D67835",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "018548500",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, MS

Sources for this page

Verify at the official NPI Registry.