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Contact Information

BART J EDMISTON SR, MD
3631 BIENVILLE BLVD.
SUITE A
OCEAN SPRINGS, MS39564
 Phone: 228-818-9620
 Fax: 228-818-9750
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Anesthesiology

207L00000X 79 Physician/Addiction Medicine
 

Interventional Pain Medicine

208VP0014X 09 Physician/Interventional Pain Management
Indicates primary specialty

NPI Profile & details for BART J EDMISTON SR · (Male)

NPI # 1508934464
Status Active
Credentials MD
Entity Individual
Enumeration date 11/30/2006
Last updated 12/28/2020 - About 5 years ago
Sole proprietor 1 Yes
Identifiers
  • ME License # EC-05-091
  • MS License # 20298
Hospital affiliation(s)
  • BILOXI REGIONAL MEDICAL CENTER - (Acute Care)
    150 REYNOIR STREET
    BILOXI, MS 39530
  • MEMORIAL HOSPITAL AT GULFPORT - (Acute Care)
    4500 13TH ST-P O BOX 1810
    GULFPORT, MS 39502
  • SINGING RIVER HOSPITAL - (Acute Care)
    2809 DENNY AV
    PASCAGOULA, MS 39581
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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