NPIMap

Organization Active NPI

NRMC Physician Ipa Inc

Doing business as NRMC OB/GYN Associates

  • Obstetrics & Gynecology Physician
  • Natchitoches, LA
National Provider Identifier
1922568039
Registry record updated Jun 26, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
Legal business name
NRMC PHYSICIAN IPA INC
Doing business as
NRMC OB/GYN Associates
Practice address
655 Bienville Cir
Natchitoches, LA 71457-5744
Phone
(318) 238-3652
Fax
(318) 238-3654
NPI assigned
Mar 24, 2019
Last updated
Jun 26, 2020By the provider in NPPES
Organization subpart
Yes
Parent organization
NRMC PHYSICIAN IPA INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 26, 2020

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

Authorized official

Name
William Bradford McCormick
Title
Cfo
Phone
(318) 214-4350

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X Primary

Addresses

Primary practice location

655 Bienville Cir
Natchitoches, LA 71457-5744

Mailing address

PO Box 2475
Natchitoches, LA 71457-2475

Other names 1

  • NRMC OB/GYN ASSOCIATES Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170808001651 LA Part B Supplier - Clinic/Group Practice 9234400300 Receives reassigned benefits from 44 practitioners
7 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Natchitoches, LA

Other NPIs on the same Medicare enrollment 7

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Part of
NRMC Physician Ipa Inc

Practitioners & affiliated clinicians

Practitioners 15

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.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1553385600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1593129600000",
    "number": "1922568039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2475",
            "city": "NATCHITOCHES",
            "state": "LA",
            "postal_code": "714572475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "655 BIENVILLE CIR",
            "city": "NATCHITOCHES",
            "state": "LA",
            "postal_code": "714575744",
            "telephone_number": "318-238-3652",
            "fax_number": "318-238-3654"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NRMC PHYSICIAN IPA INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NRMC PHYSICIAN IPA INC",
        "enumeration_date": "2019-03-24",
        "last_updated": "2020-06-26",
        "certification_date": "2020-06-26",
        "status": "A",
        "authorized_official_last_name": "MCCORMICK",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "BRADFORD",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "318-214-4350"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NRMC OB/GYN ASSOCIATES",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "NRMC OB/GYN ASSOCIATES",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Natchitoches, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2020; 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.