Individual provider Active NPI

Bruce Stocker Senter, MD

  • Orthopaedic Surgery of the Spine Physician
  • Jackson, MS
National Provider Identifier
1790993319
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery of the Spine PhysicianTaxonomy code 207XS0117X
License
11420 Issued in MS
Practice address
971 Lakeland Dr
Suite 950
Jackson, MS 39216-4643
Phone
(601) 982-7811
Fax
(601) 982-3346
NPI assigned
May 18, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery of the Spine Physician 207XS0117X 11420 MS Primary

Addresses

Primary practice location

971 Lakeland Dr
Suite 950
Jackson, MS 39216-4643

Mailing address

PO Box 9328
Jackson, MS 39286-9328
Phone (601) 982-7811

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS, LA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20110329000698 MS Practitioner - Orthopedic Surgery 1557402237 Reassigns benefits to 1 organization
I20161110000020 LA Practitioner - Orthopedic Surgery 1557402237 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
11420MSMDOrthopaedic Surgery of the Spine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Administrators of the Tulane Educational Fund CurrentSince Sep 26, 2016 Accepting new patients
Administrators of the Tulane Educational Fund CurrentSince Sep 26, 2016 Accepting new patients
Administrators of the Tulane Educational Fund CurrentSince Sep 26, 2016 Accepting new patients
Mississippi Spine Clinic PLLC Orthopaedic Surgery of the Spine Past Accepting new patients

Locations

71211 Highway 21
Ste B
Covington, LA 70433
Phone (985) 893-9922

1415 Tulane Ave
New Orleans, LA 70112
Phone (504) 588-2300

2250 Gause Blvd E
Ste 200
Slidell, LA 70461
Phone (504) 712-1410

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1179446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1790993319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9328",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392869328",
            "telephone_number": "601-982-7811",
            "fax_number": "601-982-3346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "971 LAKELAND DR",
            "address_2": "SUITE 950",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392164643",
            "telephone_number": "601-982-7811",
            "fax_number": "601-982-3346"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SENTER",
        "first_name": "BRUCE",
        "middle_name": "STOCKER",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XS0117X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": "MS",
            "license": "11420",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, MS

Sources for this page

Verify at the official NPI Registry.