Active NPI
Eugene David McNally, MD MPH
- General Practice Physician
- Gulfport, MS
National Provider Identifier
1427128255
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 11462
- Practice address
- 350 Cowan Road
Gulfport, MS 39507 - Phone
- (228) 896-5195
- Fax
- (228) 897-2395
- NPI assigned
- Nov 9, 2006
- 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 |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | 11462 | MS | Primary |
Addresses
Primary practice location
350 Cowan Road
Gulfport, MS 39507
Mailing address
350 Cowan Road
Gulfport, MS 39507
Phone (228) 896-5195
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0012671 | Medicaid | MS |
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 |
|---|---|---|---|
| 11462 | MS | MD | General Practice Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163030400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1427128255",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "350 COWAN ROAD",
"city": "GULFPORT",
"state": "MS",
"postal_code": "39507",
"telephone_number": "228-896-5195",
"fax_number": "228-897-2395"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "350 COWAN ROAD",
"city": "GULFPORT",
"state": "MS",
"postal_code": "39507",
"telephone_number": "228-896-5195",
"fax_number": "228-897-2395"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCNALLY",
"first_name": "EUGENE",
"middle_name": "DAVID",
"name_prefix": "Mr.",
"credential": "MD MPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-09",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "MS",
"license": "11462",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0012671",
"state": "MS"
}
],
"endpoints": [],
"other_names": []
}Other providers in Gulfport, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.