NPIMap

Organization Active NPI

Edward Brown Specialty Partners of Mississippi PLLC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Gulfport, MS
National Provider Identifier
1194515965
Registry record updated May 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
Legal business name
EDWARD BROWN SPECIALTY PARTNERS OF MISSISSIPPI PLLC
Practice address
1119 42ND Ave Ste a
Gulfport, MS 39501-2664
Phone
(877) 230-7841
NPI assigned
May 7, 2025
Organization subpart
Yes
Parent organization
EDWARD BROWN SPECIALTY PARTNERS OF MISSISSIPPI PLLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 20, 2025

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

Authorized official

Name
Krystal Richardson
Title
Director Revenue Cycle Management
Phone
(214) 934-7995

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X Primary

Addresses

Primary practice location

1119 42ND Ave Ste a
Gulfport, MS 39501-2664

Mailing address

820 W 42ND St Ste 2300
Scottsbluff, NE 69361-5016
Phone (720) 544-3492

National Provider Directory

National Provider Directory
Tax ID family
Edward Brown Specialty Partners of Mississippi PLLC8 organizations share this tax ID, including this one
Part of
Edward Brown Specialty Partners of Mississippi PLLC

Other organizations with this tax ID 7

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1119 42nd Ave
Ste A
Gulfport, MS 39501
Phone (228) 832-4450

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1746576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747699200000",
    "number": "1194515965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "820 W 42ND ST STE 2300",
            "city": "SCOTTSBLUFF",
            "state": "NE",
            "postal_code": "693615016",
            "telephone_number": "720-544-3492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1119 42ND AVE STE A",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395012664",
            "telephone_number": "877-230-7841"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDWARD BROWN SPECIALTY PARTNERS OF MISSISSIPPI PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "EDWARD BROWN SPECIALTY PARTNERS OF MISSISSIPPI PLLC",
        "enumeration_date": "2025-05-07",
        "last_updated": "2025-05-20",
        "certification_date": "2025-05-20",
        "status": "A",
        "authorized_official_last_name": "RICHARDSON",
        "authorized_official_first_name": "KRYSTAL",
        "authorized_official_title_or_position": "DIRECTOR REVENUE CYCLE MANAGEMENT",
        "authorized_official_telephone_number": "214-934-7995"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gulfport, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2025; 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.