Organization
BROOKHAVEN INTERNAL MEDICINE, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIANE M PRICE (OFFICE MANAGER)
(601) 835-0507
Entity
Organization
Contact information
Practice address
527 SILVER CROSS DR, BROOKHAVEN, MS 39601-2388
(601) 835-0507
(601) 835-2766
Mailing address
PO BOX 3730, BROOKHAVEN, MS 39603-7730
(601) 835-0507
(601) 835-2766
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09014373
—
MS
Enumeration date
08/30/2006
Last updated
08/22/2020
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up