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BROOKHAVEN UROLOGY, P.A.

BROOKHAVEN UROLOGY, P.A.

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Company Details

Name:	BROOKHAVEN UROLOGY, P.A.
Jurisdiction:	MISSISSIPPI
Business Type:	Profit Corporation
Status:	Good Standing
Effective Date:	16 Feb 1989 (36 years ago)
Business ID:	561383
ZIP code:	39601
County:	Lincoln
State of Incorporation:	MISSISSIPPI
Principal Office Address:	425 Hwy. 51 NorthBrookhaven, MS 39601

Agent

Name	Role	Address
Jeffrey G. Clark	Agent	425 HWY 51 NORTH, BROOKHAVEN, MS 39601

Incorporator

Name	Role	Address
Robert D Church Jr	Incorporator	1296 Deposit Guaranty Plz, Jackson, MS 39201

Director

Name	Role	Address
Jeffrey G Clark	Director	425 Hwy. 51 N., Brookhaven, MS 39601

President

Name	Role	Address
Jeffrey G Clark	President	425 Hwy. 51 N., Brookhaven, MS 39601

Secretary

Name	Role	Address
Jeffrey G Clark	Secretary	425 Hwy. 51 N., Brookhaven, MS 39601

Treasurer

Name	Role	Address
Jeffrey G Clark	Treasurer	425 Hwy. 51 N., Brookhaven, MS 39601

Vice President

Name	Role	Address
Joel D Duff	Vice President	425 Highway 51 N., Brookhaven, MS 39601

National Provider Identifier

NPI Number:

1154421006

Link:

View on NPI website

Authorized Person:

Name:

DR. JAMES JEFFERY BOYD

Role:

PRESIDENT

Phone:

6018335713

Taxonomy:

Selected Taxonomy:

208800000X - Urology Physician

Is Primary:

Yes

Contacts:

Phone:

+1 601-833-5713

Fax:

6018331616

Form 5500 Series

Employer Identification Number (EIN):

640769820

Plan Year:

2024

Number Of Participants:

22

Sponsors Telephone Number:

6018335713

File:

Plan Year:

2023

Number Of Participants:

22

Sponsors Telephone Number:

6018335713

File:

Plan Year:

2022

Number Of Participants:

24

Sponsors Telephone Number:

6018335713

File:

Plan Year:

2021

Number Of Participants:

20

Sponsors Telephone Number:

6018335713

File:

Plan Year:

2020

Number Of Participants:

19

Sponsors Telephone Number:

6018335713

File:

Filings

Type	Status	Filed Date	Description
Annual Report	Filed	2025-01-23	Annual Report For BROOKHAVEN UROLOGY, P.A.
Annual Report	Filed	2024-01-31	Annual Report For BROOKHAVEN UROLOGY, P.A.
Annual Report	Filed	2024-01-30	Annual Report For BROOKHAVEN UROLOGY, P.A.
Annual Report	Filed	2023-01-24	Annual Report For BROOKHAVEN UROLOGY, P.A.
Annual Report	Filed	2022-03-08	Annual Report For BROOKHAVEN UROLOGY, P.A.
Amendment Form	Filed	2022-03-07	Amendment For BROOKHAVEN UROLOGY, P.A.
Annual Report	Filed	2021-02-09	Annual Report For BROOKHAVEN UROLOGY, P.A.
Annual Report	Filed	2020-02-17	Annual Report For BROOKHAVEN UROLOGY, P.A.
Annual Report	Filed	2019-02-07	Annual Report For BROOKHAVEN UROLOGY, P.A.
Annual Report	Filed	2018-02-02	Annual Report For BROOKHAVEN UROLOGY, P.A.

Paycheck Protection Program

Jobs Reported:

15

Initial Approval Amount:

$161,017

Date Approved:

2020-04-15

Loan Status:

Paid in Full

SBA Guaranty Percentage:

100

Current Approval Amount:

$161,017

Race:

Unanswered

Ethnicity:

Unknown/NotStated

Gender:

Unanswered

Veteran:

Unanswered

Forgiveness Amount:

$162,765.82

Servicing Lender:

Trustmark National Bank

Use of Proceeds:

Payroll: $161,017

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Date of last update: 16 Jun 2025

Sources: Company Profile on Mississippi Secretary of State Website