| Bc Medical Llc | |
|
1901 Mission 66 Vicksburg MS 39180-3711 | |
| (601) 636-0097 | |
| Not Available |
| Full Name | Bc Medical Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 1901 Mission 66, Vicksburg, Mississippi |
| Authorized Official Name and Position | Brandon Mizell (MD) |
| Authorized Official Contact | 6016360097 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bc Medical Llc 1901 Mission 66 Vicksburg MS 39180-3711 Ph: (601) 636-0097 | Bc Medical Llc 1901 Mission 66 Vicksburg MS 39180-3711 Ph: (601) 636-0097 |
| NPI Number | 1366291627 |
|---|---|
| Provider Enumeration Date | 05/17/2024 |
| Last Update Date | 05/17/2024 |
| Medicare PECOS PAC ID | 1658813498 |
|---|---|
| Medicare Enrollment ID | O20240607000706 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366291627 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Brandon L Mizell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649624693 PECOS PAC ID: 9739468562 Enrollment ID: I20190911001720 |
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