Myers, Bradley Martin

Myers, Bradley Martin is an individual health care provider with primary practice located at 301 S 28Th Ave , Hattiesburg MS 39401-7233. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Family is his primary health care specialty. Myers, Bradley Martin can be contacted via phone (601) 288-8282.

Contact Information

Primary practice address
301 S 28Th Ave Hattiesburg MS 39401-7233
Phone: (601) 288-8282
Fax: (601) 288-8290
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 885821 Mississippi
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X R885821 Mississippi

Profile Details

NPI number 1104293463
LBN Legal business name Myers, Bradley Martin
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 21st, 2015
Last updated Jul 24th, 2020 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1104293463 NPPES
Mississippi MEDICAID 06084099

Popular Providers