NPI 1083147045 · live from the CMS NPI Registry
Brock Nathaniel Banks, M.D.
Family Medicine in Moss Point, MS. National Provider Identifier 1083147045, active.
NPI record
| NPI | 1083147045 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Family Medicine 207Q00000X |
| Practice location | 5907 Highway 90, Moss Point, MS 39563 |
| Practice phone | 228-769-2611 |
| Enumerated | April 6, 2017 |
| Last updated | December 13, 2022 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Medicine primary | 207Q00000X | 26056 (MS) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.