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BLACK RIVER MEDICAL PARTNERS
NPI 1386998318
Surgery in Poplar Bluff, MO

Active since October 29, 2012
225 PHYSICIANS PARK, SUITE 204, POPLAR BLUFF, MO 63901(573) 785-4601 Get Directions Write a Review

NPPES record last updated: November 26, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Black River Medical Partners NPPES

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

BLACK RIVER MEDICAL PARTNERS (NPI 1386998318) is a healthcare organization registered as a surgery in Poplar Bluff, Missouri and active in the NPI registry since October 2012. The organization lists Michael G Burcham, President & Ceo, as its authorized official.

NPPES Registry Identity

NPI1386998318
Entity TypeOrganization
Primary Taxonomy208600000X
Legal Business NameBLACK RIVER MEDICAL GROUP, LLC
Location Address225 PHYSICIANS PARK, SUITE 204Poplar Bluff, MO 63901-3956
Mailing Address217 Physicians Park DrivePoplar Bluff, MO 63901-3956 · (573) 727-9125 · Fax (573) 686-1245
Phone(573) 785-4601
Organization SubpartYesParent: Black River Community Medical Center
Authorized OfficialMichael G BurchamPresident & Ceo · (573) 727-9125
Enumeration DateOctober 29, 2012
Last NPPES UpdateNovember 26, 2012
✔ NPI 1386998318 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
225 PHYSICIANS PARK, Poplar Bluff, MO 63901
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Other Names 1

Doing Business AsBlack River Medical Partners

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

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

SSM NEUROSCIENCES, INC.
Neurological Surgery
225 PHYSICIANS PARK, SUITE 102
POPLAR BLUFF, MO 63901
Butler County (636) 496-3900
INTERNAL MEDICINE ASSOCIATES OF SOUTHEAST MISSOURI LLC
Clinic/Center (Rural Health)
225 PHYSICIANS PARK
POPLAR BLUFF, MO 63901
Butler County (573) 727-5500
SOUTHERN CARE AND COMFORT IN HOME AGENCY, LLC
In Home Supportive Care
225 PHYSICIANS PARK, SUITE 301
POPLAR BLUFF, MO 63901
Butler County (573) 686-2273
EMILY HOPWOOD FNP-C
Nurse Practitioner (Family)
225 PHYSICIANS PARK
POPLAR BLUFF, MO 63901
Butler County (573) 727-5500
VANESSA ADAMS NP-C
Nurse Practitioner (Family)
225 PHYSICIANS PARK, STE 203
POPLAR BLUFF, MO 63901
Butler County (573) 686-4750
MRS. PHYLLIS ANN HANSEN NP
Nurse Practitioner
225 PHYSICIANS PARK, SUITE 203
POPLAR BLUFF, MO 63901
Butler County (573) 686-4750
SONYA D DICIRO F.N.P.
Nurse Practitioner
225 PHYSICIANS PARK, SUITE 400
POPLAR BLUFF, MO 63901
Butler County (573) 727-5500
DR. STEPHEN NAGY M.D.
Internal Medicine
225 PHYSICIANS PARK, SUITE 400
POPLAR BLUFF, MO 63901
Butler County (573) 727-5500

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 Black River Medical Group, LLC's NPI number?

The NPI number for Black River Medical Group, LLC is 1386998318. It was assigned to this organization in the NPPES registry on October 29, 2012. The provider is doing business as Black River Medical Partners.

Where is Black River Medical Group, LLC located?

Black River Medical Group, LLC is located at 225 Physicians Park Suite 204, Poplar Bluff, MO 63901. The listed phone number is (573) 785-4601.

What is Black River Medical Group, LLC's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

When was this NPI record last updated?

The NPPES record for Black River Medical Group, LLC was last updated on November 26, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.