Brandon Hma LLC

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

Legal business name

BRANDON HMA LLC

Practice address

350 Crossgates Blvd
Brandon, MS 39042-2601

Phone

(601) 824-8583

NPI assigned

May 23, 2007

Organization subpart

No

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

Authorized official

Name

Timothy Parry, ESQ

Title

Sr. VP and General Counsel

Phone

(239) 598-3176

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Crossgates River Oaks Hospital Doing business as

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Brandon Hma LLC

  • Psychiatric Hospital Unit
  • Brandon, MS
  • NPI 1427098391

  Member Of

  NPD member

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

{
    "created_epoch": "1179878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1269216000000",
    "number": "1730399346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 CROSSGATES BLVD",
            "city": "BRANDON",
            "state": "MS",
            "postal_code": "390422601",
            "telephone_number": "601-824-8583"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 CROSSGATES BLVD",
            "city": "BRANDON",
            "state": "MS",
            "postal_code": "390422601",
            "telephone_number": "601-824-8583"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRANDON HMA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-23",
        "last_updated": "2010-03-22",
        "status": "A",
        "authorized_official_last_name": "PARRY",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_title_or_position": "SR. VP AND GENERAL COUNSEL",
        "authorized_official_telephone_number": "239-598-3176",
        "authorized_official_credential": "ESQ"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "000019303",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "06638595",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Crossgates River Oaks Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Brandon Hma Inc
• Brandon Hma LLC
• Brandon Hma LLC
• Brandon Hma LLC
• Brandon Hma LLC
• Brandon Professional Eyecare Associates, Inc.
• Ashley Jordan Breland, OT
• Harold Bernard Brewer Jr., A.B.O.C.
• Justin Mitchell Brewer, MD
• Brian E Johnston DMD PA

• Cardiovascular Disease Physician in Brandon, MS
• Providers in Brandon, MS by specialty
• Cardiovascular Disease Physician in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2010; 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.