NPIMap

Organization Active NPI

Coastal Anesthesia Service PA

  • Anesthesiology Physician
  • Gulfport, MS
National Provider Identifier
1255971016
Registry record updated Jan 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
Legal business name
COASTAL ANESTHESIA SERVICE PA
Practice address
3017 13TH St
Gulfport, MS 39501-1833
Phone
(228) 831-0050
Fax
(228) 831-1121
NPI assigned
Jan 9, 2020
Last updated
Jan 20, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2026

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

Authorized official

Name
Brian Dix, MDNPI 1932215464
Title
Owner/ Partner
Phone
(228) 831-0050

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207L00000X Primary

Addresses

Primary practice location

3017 13TH St
Gulfport, MS 39501-1833

Mailing address

3017 13TH St
Gulfport, MS 39501-1833
Phone (228) 831-0050

Other practice location 1

1720B Medical Park Dr
Biloxi, MS 39532-2131
Phone (228) 822-6300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200218002746 MS Part B Supplier - Clinic/Group Practice 2062849763 Receives reassigned benefits from 11 practitioners
Practice locations: Biloxi, MS; Gulfport, MS

National Provider Directory

National Provider Directory
Tax ID family
Coastal Anesthesia Service PA2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Practitioners & affiliated clinicians

Practitioners 11

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1578528000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1768867200000",
    "number": "1255971016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3017 13TH ST",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395011833",
            "telephone_number": "228-831-0050",
            "fax_number": "228-831-1121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3017 13TH ST",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395011833",
            "telephone_number": "228-831-0050",
            "fax_number": "228-831-1121"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1720B Medical Park Dr",
            "address_purpose": "LOCATION",
            "city": "Biloxi",
            "state": "MS",
            "postal_code": "395322131",
            "country_code": "US",
            "telephone_number": "228-822-6300",
            "fax_number": "228-831-1121",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "COASTAL ANESTHESIA SERVICE PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-09",
        "last_updated": "2026-01-20",
        "certification_date": "2026-01-20",
        "status": "A",
        "authorized_official_last_name": "DIX",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "OWNER/ PARTNER",
        "authorized_official_telephone_number": "228-831-0050",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "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 Jan 20, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.