Organization Active NPI

Dr. Sherman Medical Clinic

  • Specialist
  • Natchez, MS
National Provider Identifier
1225441504
Registry record updated Jun 4, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
09011 Issued in MS
Legal business name
DR. SHERMAN MEDICAL CLINIC
Practice address
55 SGT Prentiss Dr
Suite 104
Natchez, MS 39120-4782
Phone
(601) 445-7355
Fax
(601) 446-5629
NPI assigned
Jun 4, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2014

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

Authorized official

Name
Bernadette Elaine Sherman, M.D.
Title
Individual/Sole Proprietor
Phone
(601) 445-7355

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 09011 MS Primary

Addresses

Primary practice location

55 SGT Prentiss Dr
Suite 104
Natchez, MS 39120-4782

Mailing address

PO Box 1877
Natchez, MS 39121-1877
Phone (601) 445-7355

National Provider Directory

National Provider Directory

Locations

55 Sgt Prentiss Dr
Ste 104
Natchez, MS 39120
Phone (601) 442-6500

NPI Registry JSON

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

{
    "created_epoch": "1401840000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1401840000000",
    "number": "1225441504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1877",
            "city": "NATCHEZ",
            "state": "MS",
            "postal_code": "391211877",
            "telephone_number": "601-445-7355",
            "fax_number": "601-446-5629"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 SGT PRENTISS DR",
            "address_2": "SUITE 104",
            "city": "NATCHEZ",
            "state": "MS",
            "postal_code": "391204782",
            "telephone_number": "601-445-7355",
            "fax_number": "601-446-5629"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. SHERMAN MEDICAL CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-04",
        "last_updated": "2014-06-04",
        "status": "A",
        "authorized_official_last_name": "SHERMAN",
        "authorized_official_first_name": "BERNADETTE",
        "authorized_official_middle_name": "ELAINE",
        "authorized_official_title_or_position": "INDIVIDUAL/SOLE PROPRIETOR",
        "authorized_official_telephone_number": "601-445-7355",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "MS",
            "license": "09011",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Natchez, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2014; 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.