Gulfport Urgent Care Center LLC

Primary specialty

Urgent Care Clinic/CenterTaxonomy code 261QU0200X

License

12692 Issued in MS

Legal business name

GULFPORT URGENT CARE CENTER LLC

Practice address

9344 Three Rivers Rd
Gulfport, MS 39503-4268

Phone

(228) 863-0500

NPI assigned

Sep 12, 2009

Last updated

Sep 12, 2009By 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

Joel B Burwell, D.O.NPI 1427012657

Title

Owner

Phone

(228) 863-0500

Specialties & licenses 1

Addresses

Practitioners 1

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.

• Joel Burmon Burwell, D.O. PA

  • Family Medicine Physician
  • Gulfport, MS
  • NPI 1427012657
  Authorized official Same address or phone

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

{
    "created_epoch": "1252713600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1252713600000",
    "number": "1447583141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9344 THREE RIVERS RD",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395034268",
            "telephone_number": "228-863-0500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9344 THREE RIVERS RD",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395034268",
            "telephone_number": "228-863-0500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GULFPORT URGENT CARE CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-12",
        "last_updated": "2009-09-12",
        "status": "A",
        "authorized_official_last_name": "BURWELL",
        "authorized_official_first_name": "JOEL",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "228-863-0500",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "MS",
            "license": "12692",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gulfport Premier ABA LLC
• Gulfport School District
• Gulfport School District
• Gulfport Surgery Center, LLC
• Gulfport Surgery Clinic
• Gulfport Wellness Center Inc (Health Fit M.D. Wellness & Weight Loss)
• Mallory Cockrell Gully, SLP
• Richa Gupta, M.D.
• Ember Ann Guthrie, FNP AND APMHNP
• James Thomas Guthrie Jr., LCSW

• Urgent Care Clinic/Center in Gulfport, MS
• Providers in Gulfport, MS by specialty
• Urgent Care Clinic/Center in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2009; 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.