OrganizationActive
Bastian Center of Pediatric Endocrinology, PLLC
NPI 1578719571 · Pediatric Endocrinology Physician · Jackson, MS
Provider details
- NPI number
- 1578719571
- Entity type
- Organization
- Primary specialty
- Pediatric Endocrinology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- William Bastian, Provider/Owner(601) 376-1545
- License
- 19260 (MS)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
1860 Chadwick Dr
Suite 206
Jackson, MS 39204-3463
Phone: (601) 376-1545
Approximate (ZIP-level) locationGet directions
Mailing address
1860 Chadwick Dr
Jackson, MS 39204-3463
Registry dates
- Enumerated
- 2008-08-11
- Last updated
- 2008-08-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.