Black River Medical Group, LLC
NPI 1386998318 · Surgery Physician · Poplar Bluff, MO
Black River Medical Group, LLC is a Surgery Physician organization in Poplar Bluff, MO (NPI 1386998318).
Provider details
- NPI number
- 1386998318
- Entity type
- Organization
- Primary specialty
- Surgery PhysicianAllopathic & Osteopathic Physicians
- Parent organization
- Black River Community Medical Center
- Organization subpart
- Yes
- Authorized official
- Michael Burcham, President & Ceo(573) 727-9125
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
13 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
Other names (DBA / former)
- Doing business as
- Black River Medical Partners
Registry dates
- Enumerated
- 2012-10-29
- Last updated
- 2012-11-26
Frequently asked questions
- What is Black River Medical Group, LLC's NPI number?
- Black River Medical Group, LLC's National Provider Identifier (NPI) is 1386998318, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Black River Medical Group, LLC?
- Black River Medical Group, LLC is classified in the NPPES registry as Surgery Physician (Allopathic & Osteopathic Physicians).
- Where is Black River Medical Group, LLC located?
- Black River Medical Group, LLC's practice location on file with NPPES is 225 Physicians Park, Poplar Bluff, MO 63901-3956.
- What is Black River Medical Group, LLC's phone number?
- The practice phone number listed in the NPPES registry for Black River Medical Group, LLC is (573) 785-4601.
- Who is the authorized official for Black River Medical Group, LLC?
- The authorized official listed on Black River Medical Group, LLC's NPPES record is Michael Burcham, President & Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Black River Medical Group, LLC's NPI active?
- Yes — Black River Medical Group, LLC's NPI (1386998318) is active in the NPPES registry as of the last update on 2012-11-26.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.