National Provider Identifier Database

BRYAN T SULLIVAN, DPM – NPI #1164592044
Podiatrist

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 and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.


Contact Information

BRYAN T SULLIVAN, DPM
1915 DUNBARTON DRIVE
JACKSON, MS39216
Phone: 601-982-3338
Fax: 601-982-2253
Website:
Specialty Taxonomy Code
* Podiatrist 213E00000X

* Indicates primary specialty

NPI Profile & details for BRYAN T SULLIVAN

NPI Number 1164592044
Credentials DPM (Doctor of Podiatric Medicine)
Entity Individual
Enumeration date 11/08/2006
Last updated 06/05/2008 - About 18 years ago
Sole proprietor1 No
Identifiers
  • MS License #: 80089
  • MS Medicaid: 00012910
  • Other: 480007636 RAILROAD MEDICARE
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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