Robert Bryson Irwin, M.D.

Primary specialty

Allergy PhysicianTaxonomy code 207KA0200X

License

08362 Issued in MS

Practice address

4428 S Eason Blvd
Ste 1
Tupelo, MS 38801-6506

Phone

(662) 844-5080

Fax

(662) 680-6958

NPI assigned

Mar 22, 2007

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1174521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1174640643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 169",
            "city": "TUPELO",
            "state": "MS",
            "postal_code": "388020169",
            "telephone_number": "662-844-5080",
            "fax_number": "662-680-6958"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4428 S EASON BLVD",
            "address_2": "STE 1",
            "city": "TUPELO",
            "state": "MS",
            "postal_code": "388016506",
            "telephone_number": "662-844-5080",
            "fax_number": "662-680-6958"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IRWIN",
        "first_name": "ROBERT",
        "middle_name": "BRYSON",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-22",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207KA0200X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology, Allergy",
            "state": "MS",
            "license": "08362",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Malinda Ingram, FNP
• Laura Kate Inman
• Innovative Prosthetic Care Tupelo LLC
• Thomas A Ireland, M.D.
• David H Irwin Jr., MD
• Ivancic Pediatric Clinic PA
• Milan Edward Ivancic, MD
• Donavan Ivy
• Lakeisha Denise Ivy, M.ED.
• Quanashetia McKinney Ivy, BSW

• Allergy Physician in Tupelo, MS
• Providers in Tupelo, MS by specialty
• Allergy Physician in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.