Richard Mark Bresler, MB BCH BAO

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

License

G6G53W Issued in MS

Practice address

1100 Belk Boulevard
Baptist Memorial Hospital- North Mississippi
Oxford, MS 38655-5242

Phone

(662) 636-1000

Fax

(662) 636-1670

NPI assigned

May 21, 2020

Reactivated

Jun 13, 2022

Last updated

Jul 13, 2022By 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 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MS

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Interoperability endpoints

• Direct secure messaging: rbresler110335@direct.phhs.org

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

{
    "created_epoch": "1590019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657670400000",
    "number": "1467075655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 BELK BOULEVARD",
            "address_2": "BAPTIST MEMORIAL HOSPITAL- NORTH MISSISSIPPI",
            "city": "OXFORD",
            "state": "MS",
            "postal_code": "386555242",
            "telephone_number": "662-636-1000",
            "fax_number": "662-636-1670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 BELK BOULEVARD",
            "address_2": "BAPTIST MEMORIAL HOSPITAL- NORTH MISSISSIPPI",
            "city": "OXFORD",
            "state": "MS",
            "postal_code": "386555242",
            "telephone_number": "662-636-1000",
            "fax_number": "662-636-1670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRESLER",
        "first_name": "RICHARD",
        "middle_name": "MARK",
        "name_prefix": "Dr.",
        "credential": "MB BCH BAO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-05-21",
        "last_updated": "2022-07-13",
        "certification_date": "2022-07-13",
        "deactivation_date": "2022-01-18",
        "reactivation_date": "2022-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "MS",
            "license": "G6G53W",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• David Irwin Bridgers III, M.D.
• Rachel Bright, MS, CCC-SLP
• Will Brigtsen, PHARMD
• Hannah Brock, BSW, MSW, PCMHT
• Laney Elizabeth Brock, FNP-BC

• Student in an Organized Health Care Education/Training Program in Oxford, MS
• Providers in Oxford, MS by specialty
• Student in an Organized Health Care Education/Training Program in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.