1. Home
  2. Directory
  3. Mississippi
  4. Oxford
  5. Family Medicine
  6. NPI Profile

OSTRANDERSON MEDICAL PLLC
NPI 1639828981
Family Medicine - Addiction Medicine in Oxford, MS

Active since March 23, 2022
2411 SOUTH LAMAR BLVD, SUITE A, OXFORD, MS 38655(662) 202-7964 Get Directions Write a Review

NPPES record last updated: March 23, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ostranderson Medical Pllc NPPES

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

OSTRANDERSON MEDICAL PLLC (NPI 1639828981), doing business as Bespoke Medical, is a healthcare organization registered as an addiction medicine in Oxford, Mississippi and active in the NPI registry since March 2022. The organization lists Doug Anderson, Owner, as its authorized official.

NPPES Registry Identity

NPI1639828981
Entity TypeOrganization
Primary Taxonomy207QA0401X
Legal Business NameOSTRANDERSON MEDICAL PLLC
Location Address2411 SOUTH LAMAR BLVD, SUITE AOxford, MS 38655
Mailing Address2411 South Lamar Blvd, Suite AOxford, MS 38655 · (662) 202-7964
Phone(662) 202-7964
Organization SubpartYesParent: Bespoke Medical
Authorized OfficialDoug AndersonOwner · (662) 202-7964
Enumeration DateMarch 23, 2022
NPPES CertifiedMarch 21, 2022
✔ NPI 1639828981 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily Medicine · Addiction MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QA0401X
Definition
A family medicine physician who specializes in the diagnosis and treatment of addictions.
2411 SOUTH LAMAR BLVD, Oxford, MS 38655
Open in Google Maps ↗

Other Names 1

Doing Business AsBespoke Medical

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

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 Ostranderson Medical PLLC's NPI number?

The NPI number for Ostranderson Medical PLLC is 1639828981. It was assigned to this organization in the NPPES registry on March 23, 2022. The provider is doing business as Bespoke Medical.

Where is Ostranderson Medical PLLC located?

Ostranderson Medical PLLC is located at 2411 South Lamar Blvd Suite A, Oxford, MS 38655. The listed phone number is (662) 202-7964.

What is Ostranderson Medical PLLC's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Addiction Medicine, with taxonomy code 207QA0401X.

When was this NPI record last updated?

The NPPES record for Ostranderson Medical PLLC was last updated on March 23, 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.