BC Medical LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

BC MEDICAL LLC

Doing business as

Holy River Health

Practice address

114 Monument PL Ste a
Vicksburg, MS 39180-5169

Phone

(601) 738-5075

Fax

(601) 738-5197

NPI assigned

May 17, 2024

Last updated

Feb 12, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Brandon Mizell, MDNPI 1649624693

Title

MD

Phone

(601) 738-5075

Specialties & licenses 1

Addresses

Other names 1

• Holy River Health Doing business as

Medicare fee-for-service enrollment

Enrolled in MS

Enrollment records 1

Locations

Practitioners 13

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.

• Brandon Mizell, M.D.

  • Family Medicine Physician
  • Vicksburg, MS
  • NPI 1649624693
  Medicare reassignment NPD Authorized official
• John R Barnes, MD

  • Family Medicine Physician
  • Vicksburg, MS
  • NPI 1205865680
  NPD
• Robert Michael Cannon, M.D.

  • Family Medicine Physician
  • Vicksburg, MS
  • NPI 1215373139
  NPD
• Susan A Chiarito, MD

  • Family Medicine Physician
  • Vicksburg, MS
  • NPI 1871534008
  NPD
• Jonathan Grey Flowers, D.O.

  • Family Medicine Physician
  • Vicksburg, MS
  • NPI 1649659731
  NPD
• John R Ford, MS

  • Family Medicine Physician
  • Vicksburg, MS
  • NPI 1356363915
  NPD
• Denesia Giffin, NP

  • Nurse Practitioner
  • Vicksburg, MS
  • NPI 1568490241
  NPD
• Robert L Giffin, MD

  • Family Medicine Physician
  • Vicksburg, MS
  • NPI 1376584052
  NPD
• Christina R Hossley, NP

  • Family Nurse Practitioner
  • Vicksburg, MS
  • NPI 1770863631
  NPD
• Carlos Alberto Latorre, M.D.

  • Family Medicine Physician
  • Vicksburg, MS
  • NPI 1104088152
  NPD
• Robert C Masterson, DO

  • Family Medicine Physician
  • Vicksburg, MS
  • NPI 1053358853
  NPD
• Kay K McDaniel, FNP

  • Family Nurse Practitioner
  • Vicksburg, MS
  • NPI 1538100144
  NPD

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

{
    "created_epoch": "1715904000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1770854400000",
    "number": "1366291627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "114 MONUMENT PL STE A",
            "city": "VICKSBURG",
            "state": "MS",
            "postal_code": "391805169",
            "telephone_number": "601-738-5075",
            "fax_number": "601-898-7577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 MONUMENT PL STE A",
            "city": "VICKSBURG",
            "state": "MS",
            "postal_code": "391805169",
            "telephone_number": "601-738-5075",
            "fax_number": "601-738-5197"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BC MEDICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-17",
        "last_updated": "2026-02-12",
        "certification_date": "2026-02-12",
        "status": "A",
        "authorized_official_last_name": "MIZELL",
        "authorized_official_first_name": "BRANDON",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "601-738-5075",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Holy River Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Susan Barnett
• Melanie Bates
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• Battlefield Express Drugs Incorporated (Battlefield Express Drugs)
• Delena Beavers
• Jeremy Beavers
• Before & After Hair Salon, LLC
• Before & After Hair Salon, LLC
• Before & After Hair Salon, LLC

• Family Medicine Physician in Vicksburg, MS
• Providers in Vicksburg, MS by specialty
• Family Medicine Physician in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 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.