Individual provider Active NPI

Bruce Sabatino, MD

  • Emergency Medicine Physician
  • Booneville, MS
National Provider Identifier
1932157591
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
13674 Issued in MS
Practice address
100 Hospital St
Baptist Memorial Hospital - Ed
Booneville, MS 38829-3354
Phone
(662) 720-5404
Fax
(662) 720-5450
NPI assigned
May 5, 2006
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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 13674 MS Primary
Emergency Medicine Physician 207P00000X 29085 GA
Emergency Medicine Physician 207P00000X NC

Addresses

Primary practice location

100 Hospital St
Baptist Memorial Hospital - Ed
Booneville, MS 38829-3354

Mailing address

649 Saint Ives Walk
Monroe, GA 30655-1979
Phone (770) 207-0261

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: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
29085GAMDEmergency Medicine Physician
200000129NCMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
South Sunflower County Hospital Current Accepting new patients
Independent Healthcare Management, Inc. CurrentSince Mar 1, 2019 Accepting new patients
South Sunflower County Hospital Current Accepting new patients
Yazoo Emergency Group, LLC Emergency Medicine CurrentSince Sep 24, 2019 Accepting new patients
South Sunflower County Hospital Current Accepting new patients
Independent Healthcare Management, Inc, CurrentSince Mar 1, 2019 Accepting new patients
Leake Emergency Group, LLC Emergency Medicine CurrentSince Jan 6, 2020 Accepting new patients
Independent Healthcare Management, Inc. CurrentSince Mar 1, 2019 Accepting new patients
South Sunflower County Hospital CurrentSince Oct 4, 2018 Accepting new patients
South Sunflower County Hospital CurrentSince Oct 4, 2018 Accepting new patients
Covenant Emergency Physicians LLC Emergency Medicine Past Accepting new patients
Tishomingo Health Services, Inc. Past Accepting new patients
North Georgia Emergency Physicians, LLC Emergency Medicine Past Accepting new patients
Chestatee Emergency Physicians, LLC Emergency Medicine Past Accepting new patients
Emcare Physician Providers, Inc. Emergency Medicine Past Accepting new patients
Webster Health Services, Inc. Past Accepting new patients
Acs Primary Care Physicians - Southeast PC Emergency Medicine Past Accepting new patients

Locations

1100 Highway 16 E
Carthage, MS 39051
Phone (601) 267-1100

330 N Broad St
Forest, MS 39074
Phone (601) 469-4151

330 N Broad St
#S
Forest, MS 39074
Phone (601) 469-4151

121 E Baker St
Indianola, MS 38751
Phone (601) 887-3113

950 Matthew Dr
Waynesboro, MS 39367
Phone (601) 735-5151

823 Grand Ave
Yazoo City, MS 39194
Phone (601) 746-2261

Organizations & group practices 17

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.

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1146787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1932157591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "649 SAINT IVES WALK",
            "city": "MONROE",
            "state": "GA",
            "postal_code": "306551979",
            "telephone_number": "770-207-0261",
            "fax_number": "770-207-0291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 HOSPITAL ST",
            "address_2": "BAPTIST MEMORIAL HOSPITAL - ED",
            "city": "BOONEVILLE",
            "state": "MS",
            "postal_code": "388293354",
            "telephone_number": "662-720-5404",
            "fax_number": "662-720-5450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SABATINO",
        "first_name": "BRUCE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MS",
            "license": "13674",
            "primary": true
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "GA",
            "license": "29085",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NC",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Booneville, MS

Sources for this page

Verify at the official NPI Registry.