Trace Medical Clinic
NPI 1033383815 · Family Medicine Physician · Kosciusko, MS
Trace Medical Clinic is a Family Medicine Physician organization in Kosciusko, MS (NPI 1033383815).
Provider details
- NPI number
- 1033383815
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Edward Bryant, President/Owner(662) 289-9155
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2008-04-14
- Last updated
- 2008-05-27
Frequently asked questions
- What is Trace Medical Clinic's NPI number?
- Trace Medical Clinic's National Provider Identifier (NPI) is 1033383815, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Trace Medical Clinic?
- Trace Medical Clinic is classified in the NPPES registry as Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Trace Medical Clinic located?
- Trace Medical Clinic's practice location on file with NPPES is 530 Veterans Memorial Dr, Kosciusko, MS 39090-3858.
- What is Trace Medical Clinic's phone number?
- The practice phone number listed in the NPPES registry for Trace Medical Clinic is (662) 289-9155.
- Who is the authorized official for Trace Medical Clinic?
- The authorized official listed on Trace Medical Clinic's NPPES record is Edward Bryant, President/Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Trace Medical Clinic's NPI active?
- Yes — Trace Medical Clinic's NPI (1033383815) is active in the NPPES registry as of the last update on 2008-05-27.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.