Bryan Tipton Sullivan in Jackson - Podiatrist
Bryan Tipton Sullivan - NPI 1164592044
Bryan Tipton Sullivan is a Podiatrist in Jackson, Mississippi. Bryan Tipton Sullivan practices all healthcare services and medical treatments related to Podiatrist. The NPI Number for Bryan Tipton Sullivan is 1164592044. The last update date is 2008-06-05.
Bryan Tipton Sullivan's current location address is 1915 Dunbarton Drive, Jackson, Mississippi. You can contact this provider via phone number 6019823338 and fax number 6019822253. The mailing address for Bryan Tipton Sullivan is 1915 Dunbarton Drive, Jackson, Mississippi. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Bryan Tipton Sullivan |
|---|---|
| Address | 1915 Dunbarton Drive, Jackson, Mississippi |
| Phone Number | 6019823338 |
| Fax Number | 6019822253 |
| Sole Proprietor | N |
| Credentials | DPM |
NPI Number Detail
| NPI Number | 1164592044 |
|---|---|
| Provider Enumeration Date | 2006-11-08 |
| Last Updated Date | 2008-06-05 |
Provider Mailing Address Detail
| Address | 1915 Dunbarton Drive |
|---|---|
| City | Jackson |
| State | Mississippi (MS) |
| Post Code | 39216 |
| Phone Number | 6019823338 |
| Fax Number | 6019822253 |
Provider's Primary Taxonomy Detail
| Speciality | Podiatrist |
|---|---|
| Taxonomy | 213E00000X |
| Licence No | 80089 |
|
Definition: A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 12910 | MS | -- | |
| 480007636 | RAILROAD MEDICARE |
Post Comment/ Review Below
What is the unique identification code assigned to Bryan Tipton Sullivan by the Centers for Medicare & Medicaid Services?
The Bryan Tipton Sullivan has been issued the NPI (National Provider Identifier) 1164592044. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Bryan Tipton Sullivan's facilities are geographically located?
The facilities of Bryan Tipton Sullivan are physically situated at the following location: 1915 Dunbarton Drive, Jackson, MS, 39216.
What is Bryan Tipton Sullivan's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Bryan Tipton Sullivan is Podiatrist, and the taxonomy classification code that categorizes this area of expertise is 213E00000X.
When did Bryan Tipton Sullivan receive its 1164592044 assignment?
The Bryan Tipton Sullivan was assigned its 1164592044 on 2006-11-08, which is the date when this unique identifier was issued to the organization.
When was the information pertaining to Bryan Tipton Sullivan most recently updated or revised?
The details related to Bryan Tipton Sullivan, including its address, specialty, and other relevant information, were last updated or revised on 2008-06-05.
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