MEDICARE: DR. ROBERT BRYSON IRWIN M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207KA0200X	Allergy Physician	08362	MS

General Provider Information

NPI Number	:	1174640643
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ROBERT BRYSON IRWIN M.D.

Provider Business Mailing Address
First Line	:	PO BOX 169
Second Line	:
City	:	TUPELO
State	:	MS
Zip	:	38802-0169
Country	:	US
Telephone Number	:	662-844-5080
Fax Number	:	662-680-6958

Provider Business Practice Location Address
First Line	:	4428 S EASON BLVD
Second Line	:	STE 1
City	:	TUPELO
State	:	MS
Zip	:	38801-6506
Country	:	US
Telephone Number	:	662-844-5080
Fax Number	:	662-680-6958

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/22/2007
Last Update Date	:	07/09/2007

Similar Medicare Providers

1376572123 — DR. CHARLES KENNETH LIPPINCOTT
Practice Location Address:

4428 SOUTH EASON BOULEVARD , SUITE A
TUPELO, MS
38801-6506

Practice Phone: 662-844-3739
Practice Fax: 662-844-3728

1386673036 — KEN LIPPINCOTT, M.D., P.A.
Practice Location Address:

4428 SOUTH EASON BOULEVARD , SUITE A
TUPELO, MS
38801-6506

Practice Phone: 662-844-3739
Practice Fax: 662-844-3728

1356757678 — MRS. MAE GRACE ARRINGTON LCSW
Practice Location Address:

4428 S EASON BLVD STE B
TUPELO, MS
38801-6506

Practice Phone: 662-234-7601
Practice Fax:

1851983704 — MRS. RUTH BIBEAU APRN
Practice Location Address:

4428 S EASON BLVD
TUPELO, MS
38801-6506

Practice Phone: 662-234-7601
Practice Fax:

1912771486 — DONNA GRISHAM
Practice Location Address:

65 S THOMAS ST
TUPELO, MS
38801-4352

Practice Phone: 662-350-7010
Practice Fax: 662-350-7011

1154844033 — MRS. VANESSA JILL SIMMONS FNP-C
Practice Location Address:

589 GARFIELD ST STE 201
TUPELO, MS
38801-6301

Practice Phone: 662-680-5565
Practice Fax: 662-680-5654

Directions to “ DR. ROBERT BRYSON IRWIN M.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.