Bastian Center of Pediatric Endocrinology, PLLC

Primary specialty

Pediatric Endocrinology PhysicianTaxonomy code 2080P0205X

License

19260 Issued in MS

Legal business name

BASTIAN CENTER OF PEDIATRIC ENDOCRINOLOGY, PLLC

Practice address

1860 Chadwick Dr
Suite 206
Jackson, MS 39204-3463

Phone

(601) 376-1545

NPI assigned

Aug 11, 2008

Last updated

Aug 11, 2008By 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

William Bastian, M.D.

Title

Provider/Owner

Phone

(601) 376-1545

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1218412800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1218412800000",
    "number": "1578719571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1860 CHADWICK DR",
            "address_2": "SUITE 206",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392043463",
            "telephone_number": "601-376-1545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1860 CHADWICK DR",
            "address_2": "SUITE 206",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392043463",
            "telephone_number": "601-376-1545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BASTIAN CENTER OF PEDIATRIC ENDOCRINOLOGY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-11",
        "last_updated": "2008-08-11",
        "status": "A",
        "authorized_official_last_name": "BASTIAN",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "PROVIDER/OWNER",
        "authorized_official_telephone_number": "601-376-1545",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2080P0205X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Endocrinology",
            "state": "MS",
            "license": "19260",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jesseca Bass
• Kiara Latrese Bass
• Megan Christine Bass, CRNA
• Jeffrey Duane Bassett
• Stanley Dowell Bassett, CRNA
• Anita Basu, MD
• Abigail Dakin Bateman, MD
• Geraldine Bates, LCSW
• Karen P Bates, PHARMD
• Rebecca L Bates, WHCNP

• Pediatric Endocrinology Physician in Jackson, MS
• Providers in Jackson, MS by specialty
• Pediatric Endocrinology Physician in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2008; 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.