NPI 1366291627 · live from the CMS NPI Registry
Bc Medical LLC
Family Medicine in Vicksburg, MS. National Provider Identifier 1366291627, active.
NPI record
| NPI | 1366291627 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Family Medicine 207Q00000X |
| Practice location | 114 Monument Pl Ste A, Vicksburg, MS 39180 |
| Practice phone | 601-738-5075 |
| Enumerated | May 17, 2024 |
| Last updated | February 12, 2026 |
| Authorized official | Brandon Mizell, MD |
| Other names | Holy River Health |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Medicine primary | 207Q00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.