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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

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

Active since March 23, 2023PECOS Enrolled
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: August 02, 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 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
Phone(601) 794-2224
Fax(601) 794-6392
Sole ProprietorNo
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
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Secondary Practice Location 1

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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Henry Bloomingburg Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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.

KAITLYN ROUSSE WARREN DO
Family Medicine
101 WEEMS ST
PURVIS, MS 39475
Lamar County (601) 794-2224
CHRISTOPHER RYAN RAWLS MD
Family Medicine
101 WEEMS ST
PURVIS, MS 39475
Lamar County (601) 794-2224
HATTIESBURG CLINIC PA
Family Medicine
101 WEEMS ST
PURVIS, MS 39475
Lamar County (601) 794-2224
SUSAN M SICOTTE CNP
Nurse Practitioner (Family)
101 WEEMS ST
PURVIS, MS 39475
Lamar County (601) 794-2224
STEPHEN L HARLESS MD
Family Medicine
101 WEEMS ST
PURVIS, MS 39475
Lamar County (601) 794-2224
YURI OLAF RIVERA PA-C
Physician Assistant
101 WEEMS ST
PURVIS, MS 39475
Lamar County (601) 794-2224

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 enrollment system.

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 25 days 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.