Organization Active NPI

Richard John Gorman MD

  • Neurology with Special Qualifications in Child Neurology Physician
  • Biloxi, MS
National Provider Identifier
1386147874
Registry record updated Mar 12, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology with Special Qualifications in Child Neurology PhysicianTaxonomy code 2084N0402X
License
10158 Issued in MS
Legal business name
RICHARD JOHN GORMAN MD
Practice address
1903 Pass Rd Ste a
Biloxi, MS 39531-4103
Phone
(228) 436-1649
Fax
(228) 436-1664
NPI assigned
Mar 12, 2018
Last updated
Mar 12, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2018

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

Authorized official

Name
Teresa Carroll
Title
Sect
Phone
(228) 436-1649

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology with Special Qualifications in Child Neurology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084N0402X 10158 MS Primary

Addresses

Primary practice location

1903 Pass Rd Ste a
Biloxi, MS 39531-4103

Mailing address

1903 Pass Rd Ste a
Biloxi, MS 39531-4103
Phone (228) 436-1649

National Provider Directory

National Provider Directory

Locations

1903 Pass Rd
Ste A
Biloxi, MS 39531
Phone (228) 436-1649

NPI Registry JSON

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

{
    "created_epoch": "1520812800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1520812800000",
    "number": "1386147874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1903 PASS RD STE A",
            "city": "BILOXI",
            "state": "MS",
            "postal_code": "395314103",
            "telephone_number": "228-436-1649",
            "fax_number": "228-436-1664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1903 PASS RD STE A",
            "city": "BILOXI",
            "state": "MS",
            "postal_code": "395314103",
            "telephone_number": "228-436-1649",
            "fax_number": "228-436-1664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHARD JOHN GORMAN MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-12",
        "last_updated": "2018-03-12",
        "status": "A",
        "authorized_official_last_name": "CARROLL",
        "authorized_official_first_name": "TERESA",
        "authorized_official_title_or_position": "SECT",
        "authorized_official_telephone_number": "228-436-1649"
    },
    "taxonomies": [
        {
            "code": "2084N0402X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology",
            "state": "MS",
            "license": "10158",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Biloxi, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2018; 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.