Individual provider Active NPI

Steven Carmichael Brandon, M.D.

  • Family Medicine Physician
  • Starkville, MS
National Provider Identifier
1225017239
Registry record updated Aug 22, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
12094 Issued in MS
Practice address
501 Hospital Rd
Starkville, MS 39759-2158
Phone
(662) 323-3162
Fax
(662) 323-1711
NPI assigned
Jan 10, 2006
Last updated
Aug 22, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 12094 MS Primary

Addresses

Primary practice location

501 Hospital Rd
Starkville, MS 39759-2158

Mailing address

501 Hospital Rd
Starkville, MS 39759-2158
Phone (662) 323-3162

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
I20040927000192 MS Practitioner - Family Practice 5294704375 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Mississippi School of Medicine, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

755 Emergency Dr
West Point, MS 39773-9276
Phone (662) 494-8500

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of tissue1-10
Removal of skin lesions1-10
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
12094MSMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
North Mississippi Medical Clinics Inc Family Medicine Current Accepting new patients
North Mississippi Medical Clinics Inc CurrentSince Sep 7, 2022 Accepting new patients
Clay County Medical Corporation CurrentSince Jul 19, 2022 Accepting new patients
Clay County Medical Corporation CurrentSince Jul 19, 2022 Accepting new patients
North Mississippi Medical Center Current Accepting new patients
Clay County Medical Corporation Current Accepting new patients
Clay County Medical Corporation Current Accepting new patients
North Mississippi Medical Clinics Inc CurrentSince Sep 7, 2022 Accepting new patients
Lse Family Physicians, LLC Current Accepting new patients
CNCL, LLC Past Accepting new patients
North Mississippi Medical Clinics Inc Family Medicine Past Accepting new patients

Locations

100 Wilburn Way
Ste B
Starkville, MS 39759
Phone (662) 465-2050

501 Hospital Rd
Starkville, MS 39759
Phone (662) 323-3162

845 S Madison St
Tupelo, MS 38801
Phone (601) 790-5025

150 Medical Center Dr
West Point, MS 39773
Phone (601) 494-2321

755 Emergency Dr
West Point, MS 39773
Phone (662) 494-8500

Interoperability endpoints

  • Direct secure messaging: steven_c_brandon_md@yourcarecommunity.org
  • Direct secure messaging: stevenbrandon@nmhs.medalliesdirect.net

Organizations & group practices 12

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 8

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": "1136851200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1408665600000",
    "number": "1225017239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 HOSPITAL RD",
            "city": "STARKVILLE",
            "state": "MS",
            "postal_code": "397592158",
            "telephone_number": "662-323-3162",
            "fax_number": "662-323-1711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 HOSPITAL RD",
            "city": "STARKVILLE",
            "state": "MS",
            "postal_code": "397592158",
            "telephone_number": "662-323-3162",
            "fax_number": "662-323-1711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRANDON",
        "first_name": "STEVEN",
        "middle_name": "CARMICHAEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-10",
        "last_updated": "2014-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MS",
            "license": "12094",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Starkville, MS

Sources for this page

Verify at the official NPI Registry.