DR. ROBERT BRYSON IRWIN (NPI# 1174640643) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1174640643 |
Entity Type | Individual |
Full Name | DR. ROBERT BRYSON IRWIN |
Credential | M.D. |
Practice Address |
4428 S Eason Blvd Ste 1 Tupelo MS 38801-6506 |
Mailing Address |
Po Box 169 Tupelo MS 38802-0169 |
Practice Telephone | 6628445080 |
Practice Fax Number | 6626806958 |
Mailing Telephone | 6628445080 |
Mailing Fax Number | 6626806958 |
Enumeration Date | 2007-03-22 |
Last Update Date | 2007-07-09 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207KA0200X |
Allergy & Immunology Specialization: Allergy |
08362 | MS | Allopathic & Osteopathic Physicians |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1467774778 | Robert John Irwin | Occupational Therapy Assistant | 13525 Coolidge Ave, Briarwood, NY 11435-1037 | 2010-03-01 |
1124238696 | Robert Carlyle Irwin | Psychologist | 2734 Loker Ave W, Ste L, Carlsbad, CA 92010-6628 | 2007-05-23 |
1548289978 | Robert T. Irwin | Chiropractor | 204 Delaware Ave, Delmar Chiropractic, Delmar, NY 12054-1227 | 2006-07-18 |
1093760753 | Robert A Irwin | Podiatrist | 143 Merrick Ave, Merrick, NY 11566 | 2006-05-23 |
1528017928 | Robert Lee Irwin | Chiropractor | 1721 Haywood Rd, Hendersonville, NC 28791-2211 | 2006-05-10 |
1548231103 | Robert M Irwin | Pharmacist | 7170 Tory Dr, Hudsonville, MI 49426-9005 | 2006-01-31 |
1801414495 | Robert Joseph Irwin IIi | Physician Assistant | 5000 Hennessy Blvd, Baton Rouge, LA 70808-4375 | 2020-07-09 |
1154734697 | Robert Thornton Irwin | Counselor | 68518 Bannock Rd, P.o. 540, Saint Clairsville, OH 43950-9736 | 2014-06-03 |
1720325590 | Robert William Irwin | Pharmacist | 380 N Deshon Rd, Stone Mountain, GA 30087-4797 | 2013-01-13 |
1710257100 | Robert Wayne Irwin | Pharmacist | 1270 E Madison Ave, Mankato, MN 56001-5228 | 2012-01-03 |
Street Address |
4428 S EASON BLVD STE 1 |
City | TUPELO |
State | MS |
Zip Code | 38801-6506 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1902031099 | Amanda Hester Thomas | Counselor | 4428 S Eason Blvd, Tupelo, MS 38801-6506 | 2009-05-19 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1194339275 | Friendship, LLC | Pharmacy | 4123 W Main St, Tupelo, MS 38801 | 2020-09-04 |
1003443458 | Nicole Sherice Taylor | Nurse Practitioner | 845 South Gloster Street, Tupelo, MS 38801 | 2020-03-25 |
1821556838 | Wilco Healthcare of North Mississippi, Pllc | Point of Service | 1514 Co Rd 41, Tupelo, MS 38801 | 2019-03-08 |
1821565235 | Stephanie K Cagle | Nurse Practitioner | 218 S Thomas St Ste 120-121, Tupelo, MS 38801 | 2018-10-24 |
1073092326 | Lauren Parrish | Nurse Practitioner | 1573 Medical Park Circle, Tupelo, MS 38801 | 2018-08-08 |
1467948687 | North Mississippi Medcial Center, Inc. | Nurse Practitioner | 990 S Madison St Ste 2, Tupelo, MS 38801 | 2018-07-11 |
1043700933 | Hooks Diabetes & Medicine Clinic | Non-Pharmacy Dispensing Site | 2610 Traceland Drive, Ste A, Tupelo, MS 38801 | 2018-05-16 |
1073035903 | Annette C Riddle | Counselor | 1004 Eisenhower Drive, Tupelo, MS 38801 | 2017-07-12 |
1548709678 | Jaime Summers | Nurse Practitioner | 2780 West Jackson St, Tupelo, MS 38801 | 2017-02-22 |
1073975611 | Heath Bryan Coleman, Dds of Mississippi II, Pllc | Dentist | 1168 Cross Creek Drive, Tupelo, MS 38801 | 2016-03-23 |
Find all providers in zip 38801 |
Taxonomy Code | 207KA0200X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Allergy & Immunology |
Specialization | Allergy |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1336648781 | North Mississippi Allergy and Asthma Center Pllc | Allergy & Immunology | 118 Fairfield Drive, New Albany, MS 38652 | 2018-02-12 |
1942547922 | North Mississippi Allergy and Asthma Center Pllc | Allergy & Immunology | 103 Doctors Park, Starkville, MS 39759-2174 | 2013-01-10 |
1740506682 | Brittanie Neaves | Allergy & Immunology | 301 Fisher St, Biloxi, MS 39534-2508 | 2010-04-16 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.