Active NPI
Southern Bone & Joint Specialists, PA
- Orthopaedic Surgery Physician
- Hattiesburg, MS
National Provider Identifier
1639426117
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- Legal business name
- SOUTHERN BONE & JOINT SPECIALISTS, PA
- Practice address
- 7127 Highway 98
Suite 20
Hattiesburg, MS 39402 - Phone
- (601) 554-7400
- Fax
- (601) 554-7488
- NPI assigned
- Aug 14, 2012
- Organization subpart
- Yes
- Parent organization
- SOUTHERN BONE & JOINT SPECIALISTS, PA
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. David M Burckel
- Title
- Ceo
- Phone
- (601) 554-7449
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | Primary |
Addresses
Primary practice location
7127 Highway 98
Suite 20
Hattiesburg, MS 39402
Mailing address
3688 Veterans Memorial Dr
Suite 200
Hattiesburg, MS 39401-8246
Phone (601) 554-7400
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 09015183 | Medicaid | MS |
National Provider Directory
National Provider Directory- Part of
- Southern Bone Joint Specia
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1344902400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1344902400000",
"number": "1639426117",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3688 VETERANS MEMORIAL DR",
"address_2": "SUITE 200",
"city": "HATTIESBURG",
"state": "MS",
"postal_code": "394018246",
"telephone_number": "601-554-7400",
"fax_number": "601-554-7488"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7127 HIGHWAY 98",
"address_2": "SUITE 20",
"city": "HATTIESBURG",
"state": "MS",
"postal_code": "39402",
"telephone_number": "601-554-7400",
"fax_number": "601-554-7488"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SOUTHERN BONE & JOINT SPECIALISTS, PA",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "SOUTHERN BONE & JOINT SPECIALISTS, PA",
"enumeration_date": "2012-08-14",
"last_updated": "2012-08-14",
"status": "A",
"authorized_official_last_name": "BURCKEL",
"authorized_official_first_name": "DAVID",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "601-554-7449",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Orthopaedic Surgery",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "09015183",
"state": "MS"
}
],
"endpoints": [],
"other_names": []
}Other providers in Hattiesburg, MS
- Southeast Mississippi Rural Health Inititive
- Southeast Ms Air Ambulance District
- Southern Anesthesia Inc
- Southern Behavioral Medicine Associates PLLC
- Southern Bone & Joint Specialists, PA
- Southern Bone & Joint Specialists, PA
- Southern Bone& Joint Specialists
- Southern Brace and Limb
- Southern Eye Center P.a. II
- Southern Eye Center P.a. II
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.