Bernard G. De Asis, M.D.

Pediatrics Physician · Laurel, MS

Individual Active NPI Reactivated January 18, 2008

NPI number 1275539017

Practice location

117 South 11TH Avenue
Laurel, MS 39440
Phone
(601) 425-3033
Fax
(601) 422-0431

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NPI record

NPI
1275539017
Entity type
Individual (Type 1)
Enumeration date
June 27, 2005
Last updated
January 6, 2016
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Pediatrics Physician Primary 208000000X 17249 MS
Legal Medicine 173000000X 017249 MS

Mailing address

P.O. Box 4361
Laurel, MS 39441-4361
Phone
(601) 425-3033
Fax
(601) 422-0431

About Dr. De Asis

Bernard G. De Asis, M.D. is a healthcare provider registered in the NPI registry with the primary taxonomy Pediatrics Physician (code 208000000X). The practice location is 117 South 11TH Avenue, Laurel, MS 39440. The NPI number 1275539017 was assigned on June 27, 2005 and the record was last updated on January 6, 2016.

Dr. De Asis lists 2 licenses in the registry: #17249 (MS) for Pediatrics Physician; #017249 (MS) for Legal Medicine. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Bernard G. De Asis, M.D.?

The NPI number is 1275539017.

What is the phone number of Dr. De Asis?

The phone number listed for the practice location is (601) 425-3033.

Where is Dr. De Asis located?

117 South 11TH Avenue, Laurel, MS 39440.

What is the taxonomy code for Dr. De Asis?

The primary taxonomy code is 208000000X – Pediatrics Physician; 1 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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