Black River Medical Group, LLC
NPI 1386998318ActiveOrganization· Surgery· Poplar Bluff, MO
Surgery in Poplar Bluff, Missouri, registered in NPPES in October 2012, part of Black River Community Medical Center. The authorized official on file is Michael G. Burcham, MBA, RRT, President & Ceo.
Overview
| NPI | 1386998318 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Black River Community Medical Center |
| NPI issued | Oct 29, 2012 |
| Last updated in NPPES | Nov 26, 2012 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Surgery Primary | 208600000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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