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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. BERNARD G. DE ASIS, M.D.

Deactivated

DR. BERNARD G. DE ASIS, M.D. is a Pediatrics healthcare provider located in LAUREL, Mississippi. NPI 1275539017 is deactivated in the NPPES registry. Verify at CMS.

Pediatrics · LAUREL, MS

This NPI has been deactivated. The record was deactivated on July 17, 2007. Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated. Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.

Registration Details

NPI Number
1275539017
Provider Type
Individual
Gender
Male
NPI Issued
Jun 27, 2005 (2.0546448087432 yrs)
Last Updated
Jan 6, 2016
Deactivated
Jul 17, 2007
Licenses
017249 (MS)
17249 (MS)

Practice Information

Address
117 SOUTH 11TH AVENUE
LAUREL, MS, 39440
Browse MS providers · Browse ZIP 39440
Phone
6014253033
Fax
6014220431
Primary Specialty
Pediatrics
208000000X
Additional Specialty
Pediatrics

Other Pediatrics Providers in LAUREL, MS

Name Credential NPI
DR. TERRY L. BANG M.D. 1316359789
AMANDA SHOUBAKI DO 1780172213
DR. ADAKU IJEOMA NWOSU MD 1649756461
DR. CONNER NOBLE THOMAS MD 1467030981
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.