SOUTHERN BONE & JOINT SPECIALISTS, PA (NPI# 1831110725) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831110725 |
| Entity Type | Organization |
| Organization Name | SOUTHERN BONE & JOINT SPECIALISTS, PA |
| Practice Address |
3688 Veterans Memorial Drive Suite 200 Hattiesburg MS 39401 |
| Practice Telephone | 6015547400 |
| Practice Fax Number | 6015547499 |
| Mailing Telephone | 6015547400 |
| Mailing Fax Number | 6015547499 |
| Enumeration Date | 2006-07-23 |
| Last Update Date | 2012-08-21 |
| Authorized Official Name | DAVID M BURCKEL (CEO) |
| Authorized Official Telephone | 6015547499 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 9015183 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639426117 | Southern Bone & Joint Specialists, Pa | Orthopaedic Surgery | 7127 Highway 98, Suite 20, Hattiesburg, MS 39402 | 2012-08-14 |
| 1487901807 | Southern Bone & Joint Specialists, Pa | Orthopaedic Surgery | 1215 Highway 98 Byp, Columbia, MS 39429-3702 | 2012-08-06 |
| 1760098750 | Southern Bone & Joint Specialists, Pa | Orthopaedic Surgery | 1428 Azalea Dr S, Wiggins, MS 39577-8195 | 2020-09-16 |
| 1841635034 | Southern Bone & Joint Specialists, Pa | Orthopaedic Surgery | 30 Circle J Dr, #1, Laurel, MS 39440-1980 | 2013-05-02 |
| 1184965170 | Southern Bone & Joint Specialists, Pa | Orthopaedic Surgery | 128 Highland Pkwy, Suite 100, Picayune, MS 39466-5577 | 2013-03-15 |
| 1497002810 | Southern Bone & Joint Specialists, Pa | Orthopaedic Surgery | 701 S Holly Ave, Collins, MS 39428-3894 | 2012-08-06 |
| Street Address |
3688 VETERANS MEMORIAL DRIVE SUITE 200 |
| City | HATTIESBURG |
| State | MS |
| Zip Code | 39401 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700844875 | Kerry L Bernardo | Neurological Surgery | 3688 Veterans Memorial Drive, Suite 200, Hattiesburg, MS 39401 | 2006-05-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598315863 | Lisa Thornton | Technician | 18 Timberline Dr., Hattiesburg, MS 39401 | 2019-09-18 |
| 1548813637 | Caroline Estes Barnes | Counselor | Barnes, 8 App Slade Road, Hattiesburg, MS 39401 | 2019-07-18 |
| 1396252441 | Selection Healthcare Services, LLC | In Home Supportive Care | 606 Adeline St Ste 1c, Hattiesburg, MS 39401 | 2018-01-10 |
| 1225545585 | Whitney Wilkinson | Nurse Practitioner | 301 South 28th Avenue, Hattiesburg, MS 39401 | 2018-01-08 |
| 1740795806 | Forrest General Hospital | Pharmacy | 1414 South 28th Avenue, Hattiesburg, MS 39401 | 2017-12-11 |
| 1275058455 | Casey Payne | Pharmacist | 6130 Us 49, Hattiesburg, MS 39401 | 2017-08-08 |
| 1225562705 | Sarah Marie Hudson | Family Medicine | 6051 Us Highway 49 S, Hattiesburg, MS 39401 | 2017-04-12 |
| 1043671704 | The Covington's Cove Assisted Living Center LLC | Assisted Living Facility | 192 Mary Magdalene Church Rd, Hattiesburg, MS 39401 | 2016-03-09 |
| 1780083626 | Dominique Reed Watson | Pharmacist | 602 Adeline St, Hattiesburg, MS 39401 | 2014-08-15 |
| 1558778936 | Willie Davis Jr. | Day Training, Developmentally Disabled Services | 701 Duke Ave., Hattiesbiurg, MS 39401 | 2014-07-17 |
| Find all providers in zip 39401 | ||||
| Taxonomy Code | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184068413 | Thomas Payne Royals | Orthopaedic Surgery | 103 Tatum Rd, Hattiesburg, MS 39401-5186 | 2013-04-17 |
| 1639426117 | Southern Bone & Joint Specialists, Pa | Orthopaedic Surgery | 7127 Highway 98, Suite 20, Hattiesburg, MS 39402 | 2012-08-14 |
| 1356638977 | John Hunter Berry | Orthopaedic Surgery | 3688 Veterans Memorial Dr Ste 200, Hattiesburg, MS 39401 | 2011-07-03 |
| 1316916869 | Donald R. Ward | Orthopaedic Surgery | 3688 Veterans Memorial Dr., Suite 200, Hattiesburg, MS 39401 | 2006-03-16 |
| 1033115597 | Jeffrey A Burns | Orthopaedic Surgery | 5003 Hardy St Ste 401, Hattiesburg, MS 39402-1331 | 2005-06-21 |
| 1750667002 | Premier Orthopaedics & Sports Medicine, Pllc | Orthopaedic Surgery | 5003 Hardy St, Suite 401, Hattiesburg, MS 39402-1319 | 2011-11-01 |
| 1801026141 | George H. Robertson IIi | Orthopaedic Surgery | 3688 Veterans Memorial Dr., Suite 200, Hattiesburg, MS 39401 | 2009-07-21 |
| 1932357498 | Premier Orthopaedics and Sports Medicine, Pllc | Orthopaedic Surgery | 5003 Hardy St Ste 401, Hattiesburg, MS 39402-1331 | 2008-09-08 |
| 1356514988 | Michael Joseph Cox | Orthopaedic Surgery | 103 Medical Park, Hattiesburg, MS 39401-9042 | 2008-04-03 |
| 1861683203 | Sergey S Dzugan | Orthopaedic Surgery | 103 Medical Park, Hattiesburg, MS 39401-9042 | 2007-08-08 |
| Find all providers in HATTIESBURG | ||||
| City | HATTIESBURG |
| Zip Code | 39401 |
Please comment or provide details below to improve the information on SOUTHERN BONE & JOINT SPECIALISTS, PA.
| 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.