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

Black River Medical Group, LLC

Organization Surgery Physician · NPI 1386998318

Black River Medical Group, LLC is a Surgery Physician in Poplar Bluff, Missouri. Registered with an NPI since 2012.

In the registry since
2012
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

225 Physicians Park Ste 204
Poplar Bluff, MO 63901-3956
Phone: (573) 785-4601
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X

Record details

NPI number1386998318
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationBlack River Community Medical Center
Authorized official Michael Burcham — President & Ceo · (573) 727-9125
Other names Black River Medical Partners
NPI enumeratedOctober 29, 2012
Last updated in NPPESNovember 26, 2012
Mailing address217 Physicians Park Drive, Poplar Bluff, MO 63901-3956

Other providers in Poplar Bluff