Organization Active NPI

Murray Medical Alliance LLC

Doing business as Iuka Family Clinic

  • Family Medicine Physician
  • Iuka, MS
National Provider Identifier
1952180705
Registry record updated Oct 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
MURRAY MEDICAL ALLIANCE LLC
Doing business as
Iuka Family Clinic
Practice address
302 Kaki St
Iuka, MS 38852-1197
Phone
(662) 423-3662
Fax
(662) 423-2509
NPI assigned
Sep 21, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2024

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

Authorized official

Name
Dr. Bradley Murray, MDNPI 1518451129
Title
Owner
Phone
(662) 279-0334

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

302 Kaki St
Iuka, MS 38852-1197

Mailing address

PO Box 144
Iuka, MS 38852-0144
Phone (662) 740-0334

Other identifiers 1

IdentifierTypeStateIssuer
200011659MedicaidMS

Other names 1

  • Iuka Family Clinic Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20231103002469 MS Part B Supplier - Clinic/Group Practice 6305293960 Receives reassigned benefits from 2 practitioners
Practice locations: Iuka, MS

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1695254400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729468800000",
    "number": "1952180705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 144",
            "city": "IUKA",
            "state": "MS",
            "postal_code": "388520144",
            "telephone_number": "662-740-0334",
            "fax_number": "662-200-5958"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 KAKI ST",
            "city": "IUKA",
            "state": "MS",
            "postal_code": "388521197",
            "telephone_number": "662-423-3662",
            "fax_number": "662-423-2509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MURRAY MEDICAL ALLIANCE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-21",
        "last_updated": "2024-10-21",
        "certification_date": "2024-10-21",
        "status": "A",
        "authorized_official_last_name": "MURRAY",
        "authorized_official_first_name": "BRADLEY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "662-279-0334",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200011659",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Iuka Family Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Iuka, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2024; 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.