DR. HENRY BLOOMINGBURG MD
NPI 1861195463
Family Medicine in Purvis, MS

Active since March 23, 2023PECOS EnrolledAccepts Medicare Assignment
101 WEEMS ST, PURVIS, MS 39475(601) 794-2224(601) 794-6392 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 13, 2026, Mar 23, 2023 (2 updates tracked since 2023).

About Dr. Henry Bloomingburg Md NPPES

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

DR. HENRY BLOOMINGBURG MD (NPI 1861195463) is an individual family medicine provider in Purvis, Mississippi, licensed in Mississippi (33688) and active in the NPI registry since March 2023. He is enrolled in Medicare PECOS, is affiliated with Forrest General Hospital, and maintains a secondary practice location in Hattiesburg.

NPPES Registry Identity

NPI1861195463
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. HENRY BLOOMINGBURGCredential: MD
Location Address101 WEEMS STPurvis, MS 39475-4062
Mailing Address415 S 28th AveHattiesburg, MS 39401-7246 · (601) 264-6000
Fax(601) 794-6392
Sole ProprietorNo
Medical School CMSUniversity Of Mississippi School Of MedicineGraduated 2023
Enumeration DateMarch 23, 2023
Last NPPES UpdateJuly 13, 20262 updates tracked since enumeration
NPPES CertifiedJuly 13, 2026
✔ NPI 1861195463 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in MS · 33688
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.
101 WEEMS ST, Purvis, MS 39475

Secondary Practice Location 1

Location 16051 U S Highway 49Hattiesburg, MS 39401-7200 · Phone (601) 288-7000

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Henry Bloomingburg Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2466814280
PECOS Enrollment IDI20260728003365
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Henry Bloomingburg reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Family Medicine
102 SHELBY SPEIGHTS DR
Purvis, MS 39475
  • Reassigned Medicare billing, Mississippi enrollment
  • 696 clinicians in this Medicare group

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

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Forrest General Hospital

Acute Care Hospitals · Hattiesburg, MS
1/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number250078
Location6051 Us Highway 49 SouthHattiesburg, MS 39404 · Forrest County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 39475 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$80.50 typical visit price
range $51.65 – $159.18
Typical copayment $20.12 (range $12.91 – $39.79)
Most-billed visit code 99203
Established Patient
$92.20 typical visit price
range $16.15 – $129.61
Typical copayment $23.05 (range $4.03 – $32.40)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 6

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

Family Medicine
101 WEEMS ST
PURVIS, MS 39475
Family Medicine
101 WEEMS ST
PURVIS, MS 39475
Family Medicine
101 WEEMS ST
PURVIS, MS 39475
Nurse Practitioner (Family)
101 WEEMS ST
PURVIS, MS 39475
Family Medicine
101 WEEMS ST
PURVIS, MS 39475
Physician Assistant
101 WEEMS ST
PURVIS, MS 39475

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 Henry Bloomingburg's NPI number?

The NPI number for Henry Bloomingburg is 1861195463. It was assigned to this individual provider in the NPPES registry on March 23, 2023.

Where is Henry Bloomingburg located?

Henry Bloomingburg practices at 101 Weems St, Purvis, MS 39475. The listed phone number is (601) 794-2224.

What is Henry Bloomingburg's specialty?

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

Is Henry Bloomingburg enrolled in Medicare?

Yes. Henry Bloomingburg is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Henry Bloomingburg's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Henry Bloomingburg reassigns Medicare benefits to Hattiesburg Clinic PA (Purvis, MS). The 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 Henry Bloomingburg's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Henry Bloomingburg accept?

Health plans from Cigna Healthcare and UnitedHealthcare list Henry Bloomingburg 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.

Is Henry Bloomingburg affiliated with any hospitals?

According to CMS data, Henry Bloomingburg is affiliated with Forrest General Hospital.

When was this NPI record last updated?

The NPPES record for Henry Bloomingburg was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.