1. Home
  2. Directory
  3. Mississippi
  4. Gulfport
  5. Clinic Center
  6. NPI Profile

GULFPORT SURGERY CENTER, LLC
NPI 1326045444
Clinic/Center - Ambulatory Surgical in Gulfport, MS

Active since July 05, 2005
1300 BROAD AVE, GULFPORT, MS 39501(228) 575-2200 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Gulfport Surgery Center, Llc NPPES

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

GULFPORT SURGERY CENTER, LLC (NPI 1326045444) is a healthcare organization registered as an ambulatory surgical in Gulfport, Mississippi and active in the NPI registry since July 2005. The organization lists William Brian Hertzog, Administrator, as its authorized official.

NPPES Registry Identity

NPI1326045444
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameGULFPORT SURGERY CENTER, LLC
Location Address1300 BROAD AVEGulfport, MS 39501-2404
Mailing Address1300 Broad AveGulfport, MS 39501-2404 · (228) 575-2200
Phone(228) 575-2200
Organization SubpartNo
Authorized OfficialWilliam Brian HertzogAdministrator · (228) 575-2220
Enumeration DateJuly 5, 2005
Last NPPES UpdateAugust 22, 2020
✔ NPI 1326045444 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
License✔ Licensed in MS · 017
1300 BROAD AVE, Gulfport, MS 39501
Open in Google Maps ↗

Frequently Asked Questions

What is GULFPORT SURGERY CENTER, LLC's NPI number?

The NPI number assigned to this healthcare provider is 1326045444, enumerated as an "organization" on July 05, 2005.

Where is the provider located?

The provider is located at 1300 BROAD AVE GULFPORT, MS 39501 and the phone number is (228) 575-2200.

What is the provider's specialty?

Clinic/Center with taxonomy code 261QA1903X and a focus in Ambulatory Surgical.