BC MEDICAL LLC
NPI 1366291627
Family Medicine in Vicksburg, MS

Q: What is Bc Medical LLC's NPI number?

The NPI number for Bc Medical LLC is 1366291627. It was assigned to this organization in the NPPES registry on May 17, 2024. The provider is doing business as Holy River Health.

Q: What is Bc Medical LLC's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Bc Medical LLC was last updated on February 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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.

Active since May 17, 2024

114 MONUMENT PL STE A, VICKSBURG, MS 39180(601) 738-5075(601) 738-5197 Get Directions Write a Review

NPPES record last updated: February 12, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Feb 3, 2026, May 17, 2024 (2 updates tracked since 2024).

On this page

About Bc Medical Llc NPPES

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

BC MEDICAL LLC (NPI 1366291627), doing business as Holy River Health, is a healthcare organization registered as a family medicine in Vicksburg, Mississippi and active in the NPI registry since May 2024. The organization lists Brandon Mizell, Md, as its authorized official.

NPPES Registry Identity

NPI1366291627

Entity TypeOrganization

Primary Taxonomy207Q00000X

Legal Business NameBC MEDICAL LLC

Location Address114 MONUMENT PL STE AVicksburg, MS 39180-5169

Mailing Address114 Monument Pl Ste AVicksburg, MS 39180-5169 · (601) 738-5075 · Fax (601) 898-7577

Phone(601) 738-5075

Fax(601) 738-5197

Organization SubpartNo

Authorized OfficialBrandon MizellMd · (601) 738-5075

Enumeration DateMay 17, 2024

Last NPPES UpdateFebruary 12, 20262 updates tracked since enumeration

NPPES CertifiedFebruary 12, 2026

✔ NPI 1366291627 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.

114 MONUMENT PL STE A, Vicksburg, MS 39180

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Other Names 1

Doing Business AsHoly River Health

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Cigna Healthcare, Molina Healthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Bc Medical Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Bc Medical LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Brandon Mizell, M.D.

Family Practice

NPI 1649624693

114 MONUMENT PL STE A
Vicksburg, MS 39180

(601) 738-5075

✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Bc Medical LLC's NPI number?

The NPI number for Bc Medical LLC is 1366291627. It was assigned to this organization in the NPPES registry on May 17, 2024. The provider is doing business as Holy River Health.

Where is Bc Medical LLC located?

Bc Medical LLC is located at 114 Monument Pl Ste A, Vicksburg, MS 39180. The listed phone number is (601) 738-5075.

What is Bc Medical LLC's specialty?

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

Is Bc Medical LLC enrolled in Medicare?

Yes. Bc Medical LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Bc Medical LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to Bc Medical LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Bc Medical LLC accept?

Health plans from Cigna Healthcare and Molina Healthcare list Bc Medical LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Bc Medical LLC was last updated on February 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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.