Active NPI
Brandon C. Anderson, DMD
- Endodontics
- Biloxi, MS
National Provider Identifier
1932211489
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endodontics
- License
- 3122-00
- Practice address
- 1721 Medical Park Dr
Ste 201
Biloxi, MS 39532-2109 - Phone
- (228) 267-3511
- NPI assigned
- Aug 31, 2006
- Last updated
- Dec 7, 2009
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Endodontics | 1223E0200X | 3122-00 | MS | Primary |
Addresses
Primary practice location
1721 Medical Park Dr
Ste 201
Biloxi, MS 39532-2109
Mailing address
1721 Medical Park Dr
Ste 201
Biloxi, MS 39532-2109
Phone (228) 267-3511
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3122-00 | MS | MD | Endodontist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| South Mississippi Endodontics PA | Endodontics | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Endodontics
- Biloxi, MS
- NPI 1194052373
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1260144000000",
"number": "1932211489",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1721 MEDICAL PARK DR",
"address_2": "STE 201",
"city": "BILOXI",
"state": "MS",
"postal_code": "395322109",
"telephone_number": "228-267-3511"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1721 MEDICAL PARK DR",
"address_2": "STE 201",
"city": "BILOXI",
"state": "MS",
"postal_code": "395322109",
"telephone_number": "228-267-3511"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANDERSON",
"first_name": "BRANDON",
"middle_name": "C.",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-31",
"last_updated": "2009-12-07",
"status": "A"
},
"taxonomies": [
{
"code": "1223E0200X",
"taxonomy_group": "",
"desc": "Dentist, Endodontics",
"state": "MS",
"license": "3122-00",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Biloxi, MS
- Ashlee Walters Alonzo
- Amedisys Mississippi, LLC (Adoration Home Health)
- Babak Amrollahie
- Anchor Coast Direct Care
- Heather N Andersen, LMSW
- Conrad Ashton Anderson, L.C.S.W., PH.D.
- Ellie Rebecca Anderson
- Ryan Anderson, DO
- Andrew S Art of Pharmacy PLLC (Solutions the Pharmacy Doctor)
- Anesthesia & Pain Control Services, Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.