Active NPI
Regional Digestive Specialists, P.C.
- Gastroenterology Physician
- Biloxi, MS
National Provider Identifier
1497086607
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- Legal business name
- REGIONAL DIGESTIVE SPECIALISTS, P.C.
- Practice address
- 1721 Medical Park Dr
Suite 101
Biloxi, MS 39532-2109 - Phone
- (228) 392-1686
- Fax
- (228) 392-1738
- NPI assigned
- Jan 28, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Bridget Logan
- Title
- Administrator
- Phone
- (228) 875-3033
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | Primary |
Addresses
Primary practice location
1721 Medical Park Dr
Suite 101
Biloxi, MS 39532-2109
Mailing address
4511 Hospital St
Pascagoula, MS 39581-5336
Phone (228) 769-7791
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 06023748 | Medicaid | MS |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 25D2003010 | Regional Digestive Specialists PC | Certificate of waiver | Jan 28, 2028 |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1264636800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1370304000000",
"number": "1497086607",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4511 HOSPITAL ST",
"city": "PASCAGOULA",
"state": "MS",
"postal_code": "395815336",
"telephone_number": "228-769-7791",
"fax_number": "228-769-7747"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1721 MEDICAL PARK DR",
"address_2": "SUITE 101",
"city": "BILOXI",
"state": "MS",
"postal_code": "395322109",
"telephone_number": "228-392-1686",
"fax_number": "228-392-1738"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "REGIONAL DIGESTIVE SPECIALISTS, P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2010-01-28",
"last_updated": "2013-06-04",
"status": "A",
"authorized_official_last_name": "LOGAN",
"authorized_official_first_name": "BRIDGET",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "228-875-3033",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Gastroenterology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "06023748",
"state": "MS"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Biloxi, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.