ST DOMINIC FAMILY PRACTICE BRANDON – NPI #1548698608
Family Medicine
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
ST DOMINIC FAMILY PRACTICE BRANDON is a provider located in BRANDON, MS. NPPES has assigned the NPI number 1548698608 to ST DOMINIC FAMILY PRACTICE BRANDON on October 28, 2013. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “ST DOMINIC FAMILY PRACTICE BRANDON” is a dba name, the actual legal business name for this organization is ST DOMINIC MEDICAL ASSOCIATES LLC. The primary taxonomy selected by this provider is 207Q00000X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine.
The NPI profile was previously updated about 9 years ago on Dec 30, 2016. 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 ST DOMINIC FAMILY PRACTICE BRANDON below.
NPI Profile for
ST DOMINIC MEDICAL ASSOCIATES LLC
(more than 12 years ago)
BRANDON, MS 39042 Phone: (601) 200-4790 Fax: (601) 200-4855
JACKSON, MS 39225-3666 Phone: (601) 200-4749 Fax: (601) 200-5929
PRESIDENT OF SDMA
Phone: (601) 200-2000
Identifiers for ST DOMINIC FAMILY PRACTICE BRANDON
Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.
| Description | Issuer | State | Identifier |
|---|---|---|---|
| MEDICAID | MS | 02751790 |
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 |
|---|---|---|
| 207Q00000X - Family Medicine (Primary) |
MS | 18818 |
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.