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DR. BLAIR BUSH WIYGUL MD
NPI 1073263422
Student in an Organized Health Care Education/Training Program in Jackson, MS

Active since March 28, 2022PECOS Enrolled
1201 WHITWORTH ST, JACKSON, MS 39202(769) 232-0700 Get Directions Write a Review

NPPES record last updated: March 28, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Blair Bush Wiygul Md NPPES

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

DR. BLAIR BUSH WIYGUL MD (NPI 1073263422) is an individual student in an organized health care education/training program in Jackson, Mississippi and active in the NPI registry since March 2022. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1073263422
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameDR. BLAIR BUSH WIYGULCredential: MD
Location Address1201 WHITWORTH STJackson, MS 39202-2143
Mailing Address2500 N State StJackson, MS 39216-4500 · (601) 984-5607
Phone(769) 232-0700
Sole ProprietorNo
Enumeration DateMarch 28, 2022
NPPES CertifiedMarch 28, 2022
✔ NPI 1073263422 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
1201 WHITWORTH ST, Jackson, MS 39202
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Blair Bush Wiygul Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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 Blair Wiygul's NPI number?

The NPI number for Blair Wiygul is 1073263422. It was assigned to this individual provider in the NPPES registry on March 28, 2022.

Where is Blair Wiygul located?

Blair Wiygul practices at 1201 Whitworth St, Jackson, MS 39202. The listed phone number is (769) 232-0700.

What is Blair Wiygul's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Blair Wiygul enrolled in Medicare?

Yes. Blair Wiygul is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Blair Wiygul was last updated on March 28, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.