Edward E Rigdon, MD

Primary specialty

Vascular Surgery PhysicianTaxonomy code 2086S0129X

License

8412 Issued in MS

Practice address

348 Crossgates Blvd
Suite 2500
Brandon, MS 39042-2700

Phone

(601) 825-1975

Fax

(601) 825-4127

NPI assigned

Jul 13, 2006

Last updated

Dec 28, 2010By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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

• Edward E. Rigdon, M.D., Inc.

  • Vascular Surgery Physician
  • Brandon, MS
  • NPI 1144524596
  Authorized official Same address or phone
• Jackson Surgical Group PA

  • Surgery Physician
  • Jackson, MS
  • NPI 1861674723
  NPD (past)

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

{
    "created_epoch": "1152748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1293494400000",
    "number": "1427073386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6019",
            "city": "BRANDON",
            "state": "MS",
            "postal_code": "390473919",
            "telephone_number": "601-825-1975",
            "fax_number": "601-825-4127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "348 CROSSGATES BLVD",
            "address_2": "SUITE 2500",
            "city": "BRANDON",
            "state": "MS",
            "postal_code": "390422700",
            "telephone_number": "601-825-1975",
            "fax_number": "601-825-4127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIGDON",
        "first_name": "EDWARD",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-13",
        "last_updated": "2010-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "MS",
            "license": "8412",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00121392",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Richard W Pharr MD PA
• Andrea Richards, SLP
• Laura Mars Richardson, LPC, LMFT
• Corneisha J Richmond, SLP
• Lindsay J Rigby
• Mallory N Rigdon, SLP
• Angela Riley, CMHT
• Kenneth John Risinger, PMHNP
• River Health Care, LLC (Magnolia Foot Care Center)
• River Oaks Management Company, LLC (CarePlus Family Medical at Brandon)

• Vascular Surgery Physician in Brandon, MS
• Providers in Brandon, MS by specialty
• Vascular Surgery Physician in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2010; 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.