NPI 1174546345 · live from the CMS NPI Registry
Berthold Beisel, MD
Family Medicine in Columbia, MS. National Provider Identifier 1174546345, active.
NPI record
| NPI | 1174546345 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Family Medicine 207Q00000X |
| Practice location | 502 Broad St, Columbia, MS 39429 |
| Practice phone | 601-736-8282 |
| Mailing address | 415 S 28th Ave, Hattiesburg, MS 39401 |
| Enumerated | July 26, 2006 |
| Last updated | August 23, 2016 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Medicine primary | 207Q00000X | 17957 (MS) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.