Individual provider Active NPI

Ralph Brooks Vance, MD

  • Gastroenterology Physician
  • Oxford, MS
National Provider Identifier
1487974192
Registry record updated Sep 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
24918 Issued in MS
Practice address
100 Baptist Memorial Cir Ste 204
Oxford, MS 38655-0538
Phone
(662) 636-2451
Fax
(662) 636-2290
NPI assigned
Jun 3, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 24918 MS Primary

Addresses

Primary practice location

100 Baptist Memorial Cir Ste 204
Oxford, MS 38655-0538

Mailing address

350 N Humphreys Blvd
Memphis, TN 38120-2177
Phone (901) 226-4003

Other identifiers 1

IdentifierTypeStateIssuer
09739734MedicaidMS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS, MT2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20170519000776 MS Practitioner - Gastroenterology 2466745658 Reassigns benefits to 2 organizations
I20250428002096 MT Practitioner - Gastroenterology 2466745658 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
St. Dominic Medical Associates LLCGroup PAC ID 0446303168, 130 clinicians
Gastrointestinal Associates PAGroup PAC ID 5294795241, 45 clinicians
Billings ClinicGroup PAC ID 6002993516, 814 clinicians

Practice addresses (Care Compare)

106 Highland Way
Madison, MS 39110-6933

2510 Lakeland Dr
Flowood, MS 39232-9513
Phone 6013551234562

801 N 29TH St
Billings, MT 59101-0905
Phone (406) 238-2500

969 Lakeland Dr
Jackson, MS 39216-4606
Phone (601) 200-3100

Hospital & facility affiliations

  • St Dominic-Jackson Memorial Hospital Hospital, Jackson, MS, CCN 250048
  • Merit Health River Oaks Hospital, Flowood, MS, CCN 250138
  • Billings Clinic Hospital Hospital, Billings, MT, CCN 270004
  • Mississippi Baptist Medical Center Hospital, Jackson, MS, CCN 250102

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy144
Upper gastrointestinal (GI) endoscopy for acid reflux525

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
24918MSMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Gastrointestinal Associates, PA CurrentSince May 10, 2017 Accepting new patients
Billings Clinic Current Accepting new patients
Gastrointestinal Associates, P.a. Gastroenterology Current Accepting new patients
St Dominic Medical Associates LLC CurrentSince Apr 1, 2023 Accepting new patients
St. Dominic Medical Associates, LLC CurrentSince Apr 1, 2023 Accepting new patients
St. Dominic Medical Associates LLC Current Accepting new patients
Billings Clinic Gastroenterology CurrentSince Apr 14, 2025 Accepting new patients
Billings Clinic CurrentSince Apr 14, 2025 Accepting new patients
Billings Clinic Past Accepting new patients
St Dominic Medical Associates LLC Past Accepting new patients

Locations

2510 Lakeland Dr
Flowood, MS 39232
Phone (601) 355-1234

1421 N State St
Ste 203
Jackson, MS 39202
Phone (601) 355-1234

106 Highland Way
Ste 202
Madison, MS 39110
Phone (601) 200-3376

106 Highland Way
Ste 101
Madison, MS 39110
Phone (601) 355-1234

2800 10th Ave N
Billings, MT 59101
Phone (406) 248-3290

801 N 29th St
Billings, MT 59101
Phone (406) 238-2210

Interoperability endpoints

  • Direct secure messaging: giabvance@directaddress.net
  • Direct secure messaging: rvance02@yourcarecommunity.org

Organizations & group practices 10

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 11

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

NPI Registry JSON

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

{
    "created_epoch": "1275523200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788912000000",
    "number": "1487974192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 N HUMPHREYS BLVD",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381202177",
            "telephone_number": "901-226-4003",
            "fax_number": "901-227-8591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 BAPTIST MEMORIAL CIR STE 204",
            "city": "OXFORD",
            "state": "MS",
            "postal_code": "386550538",
            "telephone_number": "662-636-2451",
            "fax_number": "662-636-2290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANCE",
        "first_name": "RALPH",
        "middle_name": "BROOKS",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-06-03",
        "last_updated": "2026-09-09",
        "certification_date": "2026-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "MS",
            "license": "24918",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "09739734",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oxford, MS

Sources for this page

Verify at the official NPI Registry.