Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Bastian Center of Pediatric Endocrinology, PLLC

Organization Pediatric Endocrinology Physician · NPI 1578719571

Bastian Center of Pediatric Endocrinology, PLLC provides Pediatric Endocrinology Physician services in Jackson, Mississippi. Licensed in Mississippi. Registered with an NPI since 2008.

Licensed in
MS
In the registry since
2008
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1860 Chadwick Dr Ste 206
Jackson, MS 39204-3463 Not confirmed with CMS for 18 years — call before visiting
Phone: (601) 376-1545
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Endocrinology Physician (primary) Taxonomy 2080P0205X · Licence 19260 (MS)

Record details

NPI number1578719571
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official William Bastian — Provider/Owner · (601) 376-1545
NPI enumeratedAugust 11, 2008
Last updated in NPPESAugust 11, 2008
Mailing address1860 Chadwick Dr, Suite 206, Jackson, MS 39204-3463

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