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TRACE MEDICAL CLINIC
NPI 1033383815
Family Medicine in Kosciusko, MS

Active since April 14, 2008
530 VETERANS MEMORIAL DR, KOSCIUSKO, MS 39090(662) 289-9155(662) 289-7752 Get Directions Write a Review

NPPES record last updated: May 27, 2008. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Trace Medical Clinic NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TRACE MEDICAL CLINIC (NPI 1033383815) is a healthcare organization registered as a family medicine in Kosciusko, Mississippi and active in the NPI registry since April 2008. The organization lists Edward E Bryant, President/owner, as its authorized official.

NPPES Registry Identity

NPI1033383815
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameTRACE MEDICAL CLINIC
Location Address530 VETERANS MEMORIAL DRKosciusko, MS 39090-3858
Mailing Address530 Veterans Memorial DrKosciusko, MS 39090-3858 · (662) 289-9155 · Fax (662) 289-7752
Phone(662) 289-9155
Fax(662) 289-7752
Organization SubpartNo
Authorized OfficialEdward E BryantPresident/owner · (662) 289-9155
Enumeration DateApril 14, 2008
Last NPPES UpdateMay 27, 2008
✔ NPI 1033383815 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
530 VETERANS MEMORIAL DR, Kosciusko, MS 39090
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Other Identifiers 1

Medicaid09016283MS

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ROBERT GREGORY BROWNING MD
Family Medicine
530 VETERANS MEMORIAL DR
KOSCIUSKO, MS 39090
Attala County (662) 289-9155
DR. EDWARD E BRYANT MD
Family Medicine
530 VETERANS MEMORIAL DR
KOSCIUSKO, MS 39090
Attala County (662) 289-9155
TRACE MEDICAL CLINIC, PLLC
Family Medicine
530 VETERANS MEMORIAL DR
KOSCIUSKO, MS 39090
Attala County (662) 289-9155
MRS. LINDA B COCKROFT FNP
Nurse Practitioner (Family)
530 VETERANS MEMORIAL DR
KOSCIUSKO, MS 39090
Attala County (662) 289-9155

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Trace Medical Clinic's NPI number?

The NPI number for Trace Medical Clinic is 1033383815. It was assigned to this organization in the NPPES registry on April 14, 2008.

Where is Trace Medical Clinic located?

Trace Medical Clinic is located at 530 Veterans Memorial Dr, Kosciusko, MS 39090. The listed phone number is (662) 289-9155.

What is Trace Medical Clinic's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Trace Medical Clinic was last updated on May 27, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.