NPIMap

Individual provider Active NPI

Brian R Dix, D.O.

  • Pain Medicine (Anesthesiology) Physician
  • Gulfport, MS
National Provider Identifier
1932215464
Registry record updated Nov 9, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
13810 Issued in MS
Practice address
15190 Community Rd
Suite 230a
Gulfport, MS 39503-3485
Phone
(228) 831-0204
Fax
(228) 831-1868
NPI assigned
Aug 21, 2006
Last updated
Nov 9, 2018By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 9, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) Physician 207LP2900X 13810 MS Primary
Pain Medicine (Anesthesiology) Physician 207LP2900X 02001248A IN

Addresses

Primary practice location

15190 Community Rd
Suite 230a
Gulfport, MS 39503-3485

Mailing address

15190 Community Rd
Suite 230a
Gulfport, MS 39503-3485
Phone (228) 831-0204

Other practice location 1

3017 13th St
Gulfport, MS 39501-1833
Phone (228) 831-9343

Other identifiers 1

IdentifierTypeStateIssuer
00113498MedicaidMS

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051116000811 MS Practitioner - Anesthesiology 9931128196 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
West Virginia School of Osteopathic Medicine, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Coastal Anesthesia Service PAGroup PAC ID 2062849763, 6 clinicians
Memorial Hospital at GulfportGroup PAC ID 2466524012, 473 clinicians

Practice addresses (Care Compare)

3017 13TH St
Gulfport, MS 39501-1833
Phone (228) 831-0050

4500 13TH St
Gulfport, MS 39501-2515
Phone (228) 867-3152

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
02001248AINMDPain Medicine (Anesthesiology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Memorial Hospital at Gulfport CurrentSince Jan 30, 2020 Accepting new patients
Coastal Chronic Pain Services, PLLC Pain Medicine CurrentSince Nov 24, 1998 Accepting new patients
Memorial Hospital at Gulfport Current Accepting new patients
Coastal Anesthesia Service PA CurrentSince Apr 1, 2020 Accepting new patients
Etas, PLLC CurrentSince Oct 10, 2025 Accepting new patients
Best Anesthesia, PLLC CurrentSince Oct 10, 2025 Accepting new patients
Memorial Hospital at Gulfport CurrentSince Jan 30, 2020 Accepting new patients
Memorial Hospital at Gulfport Past Accepting new patients
Gulfport Outpatient Anesthesia, P.a. PastSince Dec 4, 2000 Accepting new patients

Locations

7956 Vaughn Rd
Ste 165
Montgomery, AL 36116

150 Reynoir St
Biloxi, MS 39530
Phone (228) 284-2389

1206 31st Ave
Gulfport, MS 39501
Phone (228) 831-0050

1340 Broad Ave
Ste 440
Gulfport, MS 39501
Phone (228) 867-4856

15190 Community Rd
Ste 230B
Gulfport, MS 39503
Phone (228) 831-0050

3017 13th St
Gulfport, MS 39501
Phone (228) 831-0050

4500 13th St
Gulfport, MS 39501
Phone (228) 236-3872

4500 13th St
#P
Gulfport, MS 39501
Phone (228) 865-3451

4500 13th St
Fl 2
Gulfport, MS 39501
Phone (228) 865-3281

Interoperability endpoints

  • Direct secure messaging: bdix@direct.mhg.com

Organizations & group practices 10

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.

Hospital & facility affiliations 60

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 60

NPI Registry JSON

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

{
    "created_epoch": "1156118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1541721600000",
    "number": "1932215464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15190 COMMUNITY RD",
            "address_2": "SUITE 230A",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395033485",
            "telephone_number": "228-831-0204",
            "fax_number": "228-831-1868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15190 COMMUNITY RD",
            "address_2": "SUITE 230A",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395033485",
            "telephone_number": "228-831-0204",
            "fax_number": "228-831-1868"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3017 13th St",
            "address_purpose": "LOCATION",
            "city": "Gulfport",
            "state": "MS",
            "postal_code": "395011833",
            "country_code": "US",
            "telephone_number": "228-831-9343",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DIX",
        "first_name": "BRIAN",
        "middle_name": "R",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-21",
        "last_updated": "2018-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "MS",
            "license": "13810",
            "primary": true
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "IN",
            "license": "02001248A",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00113498",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gulfport, MS

Sources for this page

Verify at the official NPI Registry.