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Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum Organization subpart

Black River Medical Group, LLC

Surgery Physician in Poplar Bluff, MO · enumerated 2012 · authorized official Michael Burcham, President & Ceo.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1386998318

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Registry record

Entity type Organization (Type 2)
Legal business name Black River Medical Group, LLC
Other name <Unavail>
Parent organization Black River Community Medical Center
Practice address 225 Physicians Park, Suite 204, Poplar Bluff, MO, 63901
Phone (573) 785-4601
Enumeration date Oct 29, 2012
Last updated in NPPES Nov 26, 2012

Taxonomy & classification

208600000X Surgery Physician Allopathic & Osteopathic Physicians Primary

Authorized official

Name Michael Burcham
Title President & Ceo
Phone (573) 727-9125

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for Black River Medical Group, LLC?
The NPI for Black River Medical Group, LLC is 1386998318, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Black River Medical Group, LLC?
NPPES lists Michael Burcham (President & Ceo) as the authorized official for this organization.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2012-11-26.