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Deactivated NPI 1275539017 Deactivated / Inactive NPI Male Practitioner

Dr. Bernard G. De Asis , MD

Pediatrics • Laurel, MS

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Bernard De Asis has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date June 27, 2005
NPI Deactivation Date July 17, 2007
Total Practice Duration ~2 Years of Practice (2005 – 2007)

Professional Overview & Biography Verified Profile Summary

Dr. Bernard De Asis, MD was a registered Pediatrics practicing in Laurel, MS. Throughout an active medical career spanning 2 years, Dr. De Asis provided care at the practice location at 117 SOUTH 11TH AVENUE until profile deactivation on 2007-07-17.

Practice Location & Contact Primary Location

Practice Address

117 South 11th Avenue

Laurel, MS 39440

Telephone 6014253033
Fax 6014220431
Associated Practice Facility / Clinic
🏢 Family Health Center, Inc Facility NPI 1760488357

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Laurel, MS

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 19.1 Yrs
Regional Practice Density
7 Specialists

Practicing in Laurel, MS (436 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License MS 17249

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Legal Medicine

NUCC Taxonomy Code: 173000000X

State License MS 017249

The specialty areas of medicine concerned with matters of, and relations with, substantive law and legal institutions; such as the conduct of medical examinations at crime scenes, performance of autopsies, giving of expert medical testimony in judicial proceedings, medical treatment of inmates of penal institutions, the practice of trauma medicine in law enforcement settings, and other clinical practice and medical science applications in the fields of law, law enforcement, and corrections.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
00124990 (MS)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

24 Associated Practitioners
Elisa Hillman , FNP

Nurse Practitioner - Family

NPI 1013206846

Family Nurse Practitioner

Tramain Kirksey , FNP

Nurse Practitioner - Family

NPI 1053061424

Family Nurse Practitioner

Sarah Thames , FNP, MSN, RN

Nurse Practitioner - Family

NPI 1093373110

Family Nurse Practitioner, Master of Science in Nursing, Registered Nurse

Martha Watts , RD

Dietitian, Registered

NPI 1225334170

Registered Dietitian

Casey Herrington

Nurse Practitioner - Women's Health

NPI 1245648104
NPI 1265719959

Doctor of Dental Medicine

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
📍
Updated Practice Location January 06, 2016

Registered at 117 SOUTH 11TH AVENUE, LAUREL, MS 39440 (Tel: 6014253033)

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Updated Business Mailing Address January 06, 2016

Registered at P.O. BOX 4361, LAUREL, MS 394414361 (Tel: 6014253033)

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Provider Name / Credentials Updated January 06, 2016

Recorded as BERNARD DE ASIS, M.D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) January 06, 2016

Legal Medicine (License #017249 in MS)

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NPI Profile Reactivated January 18, 2008

Record officially reactivated for active practice on January 18, 2008

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NPI Profile Deactivated July 17, 2007

Record deactivated on July 17, 2007

🟢
Initial NPI Registration & Enumeration June 27, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1275539017
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 27, 2005
Last Update: January 06, 2016
Deactivation Date: July 17, 2007
Sole Proprietor: No

Mailing Address

P.o. Box 4361

Laurel, MS 394414361

Phone: 6014253033

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.