Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Bastian Center of Pediatric Endocrinology, PLLC

Organization Pediatric Endocrinology Physician · NPI 1578719571

Bastian Center of Pediatric Endocrinology, PLLC is a Pediatric Endocrinology Physician 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
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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