Bert Chevis M D LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

BERT CHEVIS M D LLC

Practice address

849 Highway 90
Bay St Louis, MS 39520-1600

Phone

(228) 467-8422

NPI assigned

Feb 28, 2008

Last updated

Feb 29, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Bertin C Chevis, MDNPI 1649228529

Title

President

Phone

(228) 467-8422

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MS

Enrollment records 1

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.

• Bertin C Chevis, M.D.

  • Family Medicine Physician
  • Bay St Louis, MS
  • NPI 1649228529
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1204156800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204243200000",
    "number": "1780853242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "849 HIGHWAY 90",
            "city": "BAY ST LOUIS",
            "state": "MS",
            "postal_code": "395201600",
            "telephone_number": "228-467-8422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "849 HIGHWAY 90",
            "city": "BAY ST LOUIS",
            "state": "MS",
            "postal_code": "395201600",
            "telephone_number": "228-467-8422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BERT CHEVIS M D LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-28",
        "last_updated": "2008-02-29",
        "status": "A",
        "authorized_official_last_name": "CHEVIS",
        "authorized_official_first_name": "BERTIN",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "228-467-8422",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Virginia Dale Belham, RD REGISTERED DIETIT
• Regan Bellman, PCCSS
• Anna Louise Bentz, PT
• Jeffrey R Benzing, DPM
• Tracy G Benzing, DPM
• Chaquinais Desherron Birchfield, NP
• Erin Favre Blanchette, CPNP
• Matthew Peter Brennan, MD
• Marion B Brewer, FNP-C
• Desiree Bridges-Mitchell

• Family Medicine Physician in Bay St Louis, MS
• Providers in Bay St Louis, MS by specialty
• Family Medicine Physician in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 29, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.