Organization Active NPI

South Mississippi Intraoperative Monitoring, LLC

  • Legal Medicine
  • Hattiesburg, MS
National Provider Identifier
1619068723
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Legal MedicineTaxonomy code 173000000X
License
09945 Issued in MS
Legal business name
SOUTH MISSISSIPPI INTRAOPERATIVE MONITORING, LLC
Practice address
101 Asbury Cir
Hattiesburg, MS 39402-1302
Phone
(601) 450-8000
Fax
(601) 450-8009
NPI assigned
Sep 27, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Kurt F Bruchmeier, M D
Title
Doctor
Phone
(601) 268-5200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Legal Medicine 173000000X 09945 MS Primary

Addresses

Primary practice location

101 Asbury Cir
Hattiesburg, MS 39402-1302

Mailing address

101 Asbury Cir
Hattiesburg, MS 39402-1302
Phone (601) 450-8000

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1619068723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 ASBURY CIR",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "394021302",
            "telephone_number": "601-450-8000",
            "fax_number": "601-450-8009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 ASBURY CIR",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "394021302",
            "telephone_number": "601-450-8000",
            "fax_number": "601-450-8009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH MISSISSIPPI INTRAOPERATIVE MONITORING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BRUCHMEIER",
        "authorized_official_first_name": "KURT",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "601-268-5200",
        "authorized_official_credential": "M D"
    },
    "taxonomies": [
        {
            "code": "173000000X",
            "taxonomy_group": "",
            "desc": "Legal Medicine",
            "state": "MS",
            "license": "09945",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hattiesburg, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.