Joel B. Burwell D.O. P.a.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

12692 Issued in MS

Legal business name

JOEL B. BURWELL D.O. P.A.

Practice address

9344 Three Rivers Rd
Gulfport, MS 39503-4268

Phone

(228) 574-2004

NPI assigned

Jan 22, 2007

Organization subpart

No

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

Authorized official

Name

Ginny Bryant

Title

Billing Supervisor

Phone

(228) 574-2004

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1169424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1174677033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9344 THREE RIVERS RD",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395034268",
            "telephone_number": "228-574-2004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9344 THREE RIVERS RD",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395034268",
            "telephone_number": "228-574-2004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOEL B. BURWELL D.O. P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BRYANT",
        "authorized_official_first_name": "GINNY",
        "authorized_official_title_or_position": "BILLING SUPERVISOR",
        "authorized_official_telephone_number": "228-574-2004"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "MS",
            "license": "12692",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Grant Jernigan
• Jeremy Todd Jernigan, D.C.
• Jessica M Baskett
• Joan S Waldroup, LCSW, PLLC
• Janelle E Joe, PHARM. D.
• John S. Clark, Apdc
• Rachelle Maxie Johns, LCSW
• Stephen Johns, M.D.
• Bridget Johnson-Fells
• Jennifer Lynn Johnson-Thomas

• Family Medicine Physician in Gulfport, MS
• Providers in Gulfport, MS by specialty
• Family Medicine Physician in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.