Active NPI
Roland William Pomfret, MD
- Diagnostic Radiology Physician
- Biloxi, MS
National Provider Identifier
1306402706
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 33663
- Practice address
- 301 Fisher St
Biloxi, MS 39534-2508 - Phone
- (228) 376-0481
- NPI assigned
- May 13, 2019
- Last updated
- Jul 25, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 33663 | MS | Primary |
Addresses
Primary practice location
301 Fisher St
Biloxi, MS 39534-2508
Mailing address
301 Fisher St
Biloxi, MS 39534-2508
Other practice location 1
6431 Fannin Street
Suite MSB 2.116
Houston, TX 77030
Phone (713) 500-7640
Other practice location 2
Hennepin County Medical Center, 701 Park Ave
Transitional Year Program - ATTN: Roland Pomfret
Minneapolis, MN 55415
Phone (612) 873-3000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 30448 | MN | MD | Neurology Physician |
| 33663 | MS | MD | Diagnostic Radiology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1557705600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1721865600000",
"number": "1306402706",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "301 FISHER ST",
"city": "BILOXI",
"state": "MS",
"postal_code": "395342508"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "301 FISHER ST",
"city": "BILOXI",
"state": "MS",
"postal_code": "395342508",
"telephone_number": "228-376-0481"
}
],
"practiceLocations": [
{
"address_1": "6431 Fannin Street",
"address_2": "Suite MSB 2.116",
"address_purpose": "LOCATION",
"city": "Houston",
"state": "TX",
"postal_code": "77030",
"country_code": "US",
"telephone_number": "713-500-7640",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "Hennepin County Medical Center, 701 Park Ave",
"address_2": "Transitional Year Program - ATTN: Roland Pomfret",
"address_purpose": "LOCATION",
"city": "Minneapolis",
"state": "MN",
"postal_code": "55415",
"country_code": "US",
"telephone_number": "612-873-3000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "POMFRET",
"first_name": "ROLAND",
"middle_name": "WILLIAM",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-05-13",
"last_updated": "2024-07-25",
"certification_date": "2024-07-25",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "MS",
"license": "33663",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Biloxi, MS
- Richard Brandon Pittman, NP-C
- Amber Pitts
- Danny Ray Pizzino Jr., M.D.
- Mary Anne Plaskon, LCSW, RSM
- Polk's Crossgates Discount Drugs Inc.
- Sherrie C Pomierski, LPC, NBCC, NBSC, MS
- Elizabeth Ann Pond, EXECUTIVE DIRECTOR
- Pontchartrain Anesthesia, LLC
- Popps Ferry Out-Patient Surgery Center, LLC
- Megan Porostovsky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.