My Brother'S Keeper

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

MY BROTHER'S KEEPER

Practice address

805 E River PL
Jackson, MS 39202-3486

Phone

(601) 500-7660

NPI assigned

Jan 26, 2021

Organization subpart

No

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

Authorized official

Name

Max McKinney

Title

Cfo

Phone

(769) 216-2455

Specialties & licenses 1

Addresses

Other names 1

• Open Arms Mobile Clinic Other name

Tax ID family

My Brother'S Keeper3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

• My Brother'S Keeper, Inc

  • Clinic/Center
  • Gulfport, MS
  • NPI 1003582925
  NPD tax ID
• My Brother'S Keeper, Inc

  • Clinic/Center
  • Hattiesburg, MS
  • NPI 1215603139
  NPD tax ID

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

{
    "created_epoch": "1611619200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611619200000",
    "number": "1225628985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "805 E RIVER PL",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392023486",
            "telephone_number": "601-500-7660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "805 E RIVER PL",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392023486",
            "telephone_number": "601-500-7660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MY BROTHER'S KEEPER",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-26",
        "last_updated": "2021-01-26",
        "certification_date": "2021-01-08",
        "status": "A",
        "authorized_official_last_name": "MCKINNEY",
        "authorized_official_first_name": "MAX",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "769-216-2455"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Open Arms Mobile Clinic",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Sirna Musa, NP-C
• Muscle and Nerve PA
• Kendra Suzanne Musgrove, AGACNP-BC
• William Mustain, PH. D.
• Raina M Muthukumaru, MD
• My Brother'S Keeper, Inc
• Glen David Myatt Jr.
• Mybethony Enterprises
• Brandon S Myers
• Brower Lee Myers

• Clinic/Center in Jackson, MS
• Providers in Jackson, MS by specialty
• Clinic/Center in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2021; 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.