Active NPI
Bijoy Sam, DO
- Psychiatry Physician
- Flowood, MS
National Provider Identifier
1689410599
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- T-5212
- Practice address
- 5201 Lakeland Blvd
Flowood, MS 39232-8912 - Phone
- (469) 500-4297
- NPI assigned
- Jul 1, 2024
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | T-5212 | MS | Primary |
Addresses
Primary practice location
5201 Lakeland Blvd
Flowood, MS 39232-8912
Mailing address
5201 Lakeland Blvd
Flowood, MS 39232-8912
Phone (469) 500-4297
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1719792000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1719792000000",
"number": "1689410599",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5201 LAKELAND BLVD",
"city": "FLOWOOD",
"state": "MS",
"postal_code": "392328912",
"telephone_number": "469-500-4297"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5201 LAKELAND BLVD",
"city": "FLOWOOD",
"state": "MS",
"postal_code": "392328912",
"telephone_number": "469-500-4297"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SAM",
"first_name": "BIJOY",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2024-07-01",
"last_updated": "2024-07-01",
"certification_date": "2024-07-01",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "MS",
"license": "T-5212",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Flowood, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.