Provider Demographics
NPI:1083661946
Name:ALEXANDER, BELINDA (MD)
Entity Type:Individual
Prefix:DR
First Name:BELINDA
Middle Name:
Last Name:ALEXANDER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:BELINDA
Other - Middle Name:
Other - Last Name:ALEXANDER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:PO BOX 512
Mailing Address - Street 2:
Mailing Address - City:BILOXI
Mailing Address - State:MS
Mailing Address - Zip Code:39533-0512
Mailing Address - Country:US
Mailing Address - Phone:228-385-4645
Mailing Address - Fax:228-385-4695
Practice Address - Street 1:2771 PASS RD
Practice Address - Street 2:SUITE A
Practice Address - City:BILOXI
Practice Address - State:MS
Practice Address - Zip Code:39531-2600
Practice Address - Country:US
Practice Address - Phone:228-385-4645
Practice Address - Fax:228-385-4695
Is Sole Proprietor?:No
Enumeration Date:2006-05-27
Last Update Date:2014-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MS15861207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MS0119465Medicaid
MS$$$$$$$$$BOtherBCBS
MS0119465Medicaid
MS110170587Medicare PIN
MS110001051Medicare PIN
MS$$$$$$$$$BOtherBCBS
MS302I115946Medicare PIN
MS0119465Medicaid