BROOKHAVEN OB-GYN ASSOCIATES PA NPI 1427108729

NPI Information

  • NPI: 1427108729
  • Provider Name: BROOKHAVEN OB-GYN ASSOCIATES, PA
  • Classification: Specialist - 174400000X
  • Entity Type: Organization
  • CLIA Number: 25D0319976
  • Address: 1012 D A BIGLANE DR
    BROOKHAVEN, MS
    ZIP 39601
  • Phone: (601) 833-8157

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NPI Details

BROOKHAVEN OB-GYN ASSOCIATES, PA is a specialist in Brookhaven, MS. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. BROOKHAVEN OB-GYN ASSOCIATES, PA NPI is 1427108729. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1012 D A BIGLANE DR
BROOKHAVEN, MS
ZIP 39601-331
Phone: (601) 833-8157
Fax: (601) 833-1633

The provider's authorized official is Steve Mills .
The authorized official title is President and has the following contact phone number (601) 833-8157.

The CLIA number assigned to this NPI record is 25D0319976 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 1/11/2007 and was last updated on 11/9/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1174400000XSpecialist207V00000XMISSISSIPPIYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
109012169MEDICAIDMISSISSIPPI
2C00361MEDICARE ID-TYPE UNSPECIFIEDMISSISSIPPIMEDICARE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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