NPIMap

Individual provider Active NPI

Bradley Carnell Sams, M.D.

  • Obstetrics & Gynecology Physician
  • Ocean Springs, MS
National Provider Identifier
1386689404
Registry record updated Jun 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
16666 Issued in MS
Practice address
1001 N. Halstead Rd.
Ocean Springs, MS 39564
Phone
(228) 818-0416
Fax
(228) 818-4932
NPI assigned
Jun 20, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 12, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 16666 MS Primary

Addresses

Primary practice location

1001 N. Halstead Rd.
Ocean Springs, MS 39564

Mailing address

1001 N. Halstead Rd.
Ocean Springs, MS 39564
Phone (228) 818-0416

Other identifiers 1

IdentifierTypeStateIssuer
00121469MedicaidMS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050420000561 MS Practitioner - Obstetrics/Gynecology 8325086382 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Louisiana State University School of Medicine in New Orleans, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1001 N Halstead Rd
Ocean Springs, MS 39564-3121

Hospital & facility affiliations

  • Singing River Gulfport Hospital, Gulfport, MS, CCN 250123
  • Singing River Health System Hospital, Pascagoula, MS, CCN 250040
  • Memorial Hospital Biloxi Hospital, Biloxi, MS, CCN 250007
  • Memorial Hospital at Gulfport Hospital, Gulfport, MS, CCN 250019

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
16666MSMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bradley C Sams MD PA CurrentSince Apr 17, 2000 Accepting new patients
Bradley Carnell Sams MD PA CurrentSince Jan 1, 2015 Accepting new patients
Sheli Milam MD PA Current Accepting new patients
Singing River Gulfport Past Accepting new patients
Mississippi Coast OB/GYN, P.a. Obstetrics & Gynecology PastSince Jan 1, 2004 Accepting new patients
Sheli Milam, MD Obstetrics & Gynecology Past Accepting new patients
DRS Hart Carter and Dean Apmc Past Accepting new patients
WK Womens Health Associates Obstetrics & Gynecology PastSince Oct 1, 2006 Accepting new patients

Locations

1001 N Halstead Rd
Ocean Springs, MS 39564
Phone (228) 818-0416

1001 N Halstead Rd
#B
Ocean Springs, MS 39564
Phone (228) 818-0416

Interoperability endpoints

  • Direct secure messaging: bradleysams@112569.advancedmd-direct.com

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 63

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 63

NPI Registry JSON

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

{
    "created_epoch": "1150761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560297600000",
    "number": "1386689404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 N. HALSTEAD RD.",
            "city": "OCEAN SPRINGS",
            "state": "MS",
            "postal_code": "39564",
            "telephone_number": "228-818-0416",
            "fax_number": "228-818-4932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 N. HALSTEAD RD.",
            "city": "OCEAN SPRINGS",
            "state": "MS",
            "postal_code": "39564",
            "telephone_number": "228-818-0416",
            "fax_number": "228-818-4932"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAMS",
        "first_name": "BRADLEY",
        "middle_name": "CARNELL",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-20",
        "last_updated": "2019-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MS",
            "license": "16666",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00121469",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ocean Springs, MS

Sources for this page

Verify at the official NPI Registry.