Ms PMR & PMC, PLLC

Primary specialty

Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X

License

18599 Issued in MS

Legal business name

MS PMR & PMC, PLLC

Practice address

144 S Thomas St
Building 1, Suite 101-2
Tupelo, MS 38801-5312

Phone

(662) 841-8830

Fax

(662) 841-8832

NPI assigned

May 30, 2007

Organization subpart

No

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

Authorized official

Name

Bruce Edward Porter, MDNPI 1598883266

Title

Managing Member

Phone

(662) 841-8830

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Bruce Edward Porter, MD

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Tupelo, MS
  • NPI 1598883266
  NPD (past) Authorized official

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

{
    "created_epoch": "1180483200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216598400000",
    "number": "1619178100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "144 S THOMAS ST",
            "address_2": "BUILDING 1, SUITE 101-2",
            "city": "TUPELO",
            "state": "MS",
            "postal_code": "388015312",
            "telephone_number": "662-841-8830",
            "fax_number": "662-841-8832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "144 S THOMAS ST",
            "address_2": "BUILDING 1, SUITE 101-2",
            "city": "TUPELO",
            "state": "MS",
            "postal_code": "388015312",
            "telephone_number": "662-841-8830",
            "fax_number": "662-841-8832"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MS PMR & PMC, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-30",
        "last_updated": "2008-07-21",
        "status": "A",
        "authorized_official_last_name": "PORTER",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "662-841-8830",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2081P2900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "MS",
            "license": "18599",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "05458278",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jessica Motes
• Mothershed Optometry Associates PLLC
• Fred H Mothershed, O.D.
• Ms Counseling and Psychiatric Center LLC
• Ms Eye PLLC
• MSK Group, PC
• Ivory V Muhammad
• Andrea Munn
• Ruhul Amin Munshi, MD
• Noelle Murff

• Pain Medicine (Physical Medicine & Rehabilitation) Physician in Tupelo, MS
• Providers in Tupelo, MS by specialty
• Pain Medicine (Physical Medicine & Rehabilitation) Physician in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.