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NPI · 1164592044 · NPPES-sourced

Bryan Sullivan DPM

ActivePodiatry
NPI Number
1164592044
Type 1 · Individual
Taxonomy Code
213E00000X
Contact
(601) 982-3338
License MS · 80089
Last Updated
About 18 years ago (Jun 2008)
Enumerated 2006-11-08
Primary practice addressMS · 39216
1915 Dunbarton DriveJackson, MS 39216
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About this NPIWhat this record shows.

NPI 1164592044 is registered to Bryan Sullivan DPM, a Podiatry practising at 1915 Dunbarton Drive in Jackson, Mississippi. Podiatry is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy. Bryan Sullivan DPM has been enumerated in the National Provider Identifier (NPI) registry since 2006.

Provider type
Individual (Type 1)
Status
Active
Enumerated
2006-11-08
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Secondary identifiers

Additional identifiers this provider has registered with NPPES. Used by medical billers, credentialers, and insurance verifiers to cross-reference claims and enrollments.

Medicaid

Other

  • 480007636· Issued by RAILROAD MEDICARE

Source: NPPES public registry.

Medicare enrollment

This provider holds 2 Medicare enrollments on file with the Provider Enrollment, Chain and Ownership System (PECOS). Each enrollment carries a public Medicare Enrollment ID (ENRLMT_ID) used by billers and intermediaries.

Practitioner

DME Supplier

Source: CMS PECOS public enrollment file.

Insurance & acceptsHow to confirm coverage.

The National Plan and Provider Enumeration System (NPPES) registry does not include commercial insurance network data, so we cannot show which plans Bryan Sullivan DPM accepts. To confirm in-network status with your specific health plan, contact Bryan Sullivan DPM directly at (601) 982-3338.

Frequently asked

Yes. NPI 1164592044 is registered as Active in the CMS NPPES public registry and passes the Luhn check-digit validation that all 10-digit NPIs use.

Podiatry is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy.

The CMS NPPES Public Registry at npiregistry.cms.hhs.gov is the authoritative source. FindMyNPI mirrors this dataset and refreshes monthly. For real-time verification, you can also call the provider's office at (601) 982-3338.

An individual healthcare provider has a single Type-1 NPI for life. Organisations can hold separate Type-2 NPIs per location, specialty, or sub-entity. Bryan Sullivan DPM is a Type-1 individual NPI.

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Quick facts

Provider typeIndividual
Taxonomy213E00000X
Last updated2008-06
Enumerated2006-11-08
StatusActive
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