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BESPOKE AESTHETICS AND PLASTIC SURGERY
NPI 1417783317
Plastic Surgery in Madison, MS

Active since September 09, 2024
161 MONTGOMERY ST STE C, MADISON, MS 39110(601) 987-6581 Get Directions Write a Review

NPPES record last updated: October 30, 2025. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Bespoke Aesthetics And Plastic Surgery NPPES

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

BESPOKE AESTHETICS AND PLASTIC SURGERY (NPI 1417783317) is a healthcare organization registered as a plastic surgery in Madison, Mississippi and active in the NPI registry since September 2024. The organization lists Erica Bass, Owner, as its authorized official.

NPPES Registry Identity

NPI1417783317
Entity TypeOrganization
Primary Taxonomy208200000X
Legal Business NameBESPOKE AESTHETICS AND PLASTIC SURGERY
Location Address161 MONTGOMERY ST STE CMadison, MS 39110-1119
Mailing AddressPo Box 1998Madison, MS 39130-1998 · (601) 987-6581
Phone(601) 987-6581
Organization SubpartNo
Authorized OfficialErica BassOwner · (601) 987-6581
Enumeration DateSeptember 9, 2024
Last NPPES UpdateOctober 30, 2025
NPPES CertifiedOctober 30, 2025
✔ NPI 1417783317 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPlastic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208200000X
Definition
A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.
161 MONTGOMERY ST STE C, Madison, MS 39110
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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 Molina Healthcare.Insurance ›

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 Bespoke Aesthetics And Plastic Surgery's NPI number?

The NPI number for Bespoke Aesthetics And Plastic Surgery is 1417783317. It was assigned to this organization in the NPPES registry on September 9, 2024.

Where is Bespoke Aesthetics And Plastic Surgery located?

Bespoke Aesthetics And Plastic Surgery is located at 161 Montgomery St Ste C, Madison, MS 39110. The listed phone number is (601) 987-6581.

What is Bespoke Aesthetics And Plastic Surgery's specialty?

The primary specialty registered for this NPI is Plastic Surgery with taxonomy code 208200000X.

What insurance does Bespoke Aesthetics And Plastic Surgery accept?

Health plans from Molina Healthcare list Bespoke Aesthetics And Plastic Surgery 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 Bespoke Aesthetics And Plastic Surgery was last updated on October 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.