POPPS FERRY OUT-PATIENT SURGERY CENTER, LLC – NPI #1053649558
Clinic/Center

POPPS FERRY OUT-PATIENT SURGERY CENTER, LLC is an AHC clinic located in BILOXI, MS. NPPES has assigned the NPI number 1053649558 to POPPS FERRY OUT-PATIENT SURGERY CENTER, LLC on November 23, 2009. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 261QA1903X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Ambulatory Surgical

The NPI profile was last updated on Jul 29, 2025. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for POPPS FERRY OUT-PATIENT SURGERY CENTER, LLC below.

NPI Profile for
POPPS FERRY OUT-PATIENT SURGERY CENTER, LLC

NPI Number
1053649558
Enumeration Date

(more than 16 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
POPPS FERRY OUT-PATIENT SURGERY CENTER, LLC
Primary location
431 BERTUCCI BLVD
BILOXI, MS 39531-2255
Phone: (228) 385-2020 Fax: (228) 388-9435
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
GREGORY BERTUCCI
OWNER
Phone: (228) 385-2020
Updated
Certification Date
Jul 29, 2025

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QA1903X
- Clinic/Center / Ambulatory Surgical (Primary)
261QS0132X
- Clinic/Center / Ophthalmologic Surgery

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.