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Black River Medical Group, LLC — NPI 1386998318, Poplar Bluff, MO | NPI Central

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NPI 1386998318

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Black River Medical Group, LLC

NPI 1386998318 · Surgery Physician · Poplar Bluff, MO

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

Surgery PhysicianPrimary208600000X
Allopathic & Osteopathic Physicians

Practice location

225 Physicians Park

Suite 204

Poplar Bluff, MO 63901-3956

Phone: (573) 785-4601

Approximate (ZIP-level) locationGet directions

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Mailing address

217 Physicians Park Drive

Poplar Bluff, MO 63901-3956

Other names (DBA / former)

Doing business as: Black River Medical Partners

Registry dates

Enumerated: 2012-10-29
Last updated: 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.