DR. BRYAN DAVID LEATHERMAN (NPI# 1154367738) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154367738 |
| Entity Type | Individual |
| Full Name | DR. BRYAN DAVID LEATHERMAN |
| Credential | M.D. |
| Practice Address |
1213 Broad Ave Suite 4 Gulfport MS 39501-2475 |
| Mailing Address |
218 Oakwood Dr Gulfport MS 39507-1918 |
| Practice Telephone | 2288642121 |
| Mailing Telephone | 2288962896 |
| Enumeration Date | 2006-06-21 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 207Y00000X | Otolaryngology | 17564 | MS | Allopathic & Osteopathic Physicians |
| X | 207YX0602X |
Otolaryngology Specialization: Otolaryngic Allergy |
17564 | MS | Allopathic & Osteopathic Physicians |
| Street Address |
1213 BROAD AVE SUITE 4 |
| City | GULFPORT |
| State | MS |
| Zip Code | 39501-2475 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760475636 | Robert Joseph Weierman Sr. | Orthopaedic Surgery | 1213 Broad Ave, Suite 5, Gulfport, MS 39501-2475 | 2005-08-25 |
| 1659679298 | Hector A. Dox Md Pllc | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1213 Broad Ave, Suite 3, Gulfport, MS 39501-2475 | 2011-03-07 |
| 1073711255 | Robert J Weierman Md Pllc | Orthopaedic Surgery | 1213 Broad Ave, Suite 5, Gulfport, MS 39501-2475 | 2007-07-10 |
| 1851457733 | Arthur Chipley Sproles | Surgery | 1213 Broad Ave, Gulfport, MS 39501 | 2006-12-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598301632 | Daniel Edward Bloom | Physician Assistant | Naval Branch Health Clinic Gulfport, 5502 Marvin Shields Blvd, Gulfport, MS 39501 | 2019-11-25 |
| 1730721374 | Affinity Healthcare LLC | Non-emergency Medical Transport (VAN) | 1822 15th St, Suite 8, Gulfport, MS 39501 | 2019-10-15 |
| 1093361156 | Gulf Coast Companion Care, LLC | Home Health | 1314 Pass Road, Ste B, Gulfport, MS 39501 | 2019-08-14 |
| 1609420991 | Greg Meekin Ent | Otolaryngology | 1201 31st Avenue, Gulfport, MS 39501 | 2019-07-25 |
| 1225681216 | Murphy Chiropractic Gulfport, LLC | Clinic/Center | 2700 25th Ave., Gulfport, MS 39501 | 2019-07-19 |
| 1477022838 | Patriot Healthcare of Mississippi, LLC | Family Medicine | 1110 Broad Street, Suite 300, Gulfport, MS 39501 | 2018-11-15 |
| 1477003028 | Mindful Matters | Nurse Practitioner | 1613 23rd Avenue, Gulfport, MS 39501 | 2016-10-06 |
| 1902294093 | Tangular Barnes | Nurse Practitioner | Gulf Coast Mental Health Center, 1600 Broad Ave, Gulfport, MS 39501 | 2014-12-25 |
| 1487065355 | Huong Nguyen | Pharmacist | 2433 25th Avenue, Gulfport, MS 39501 | 2014-05-14 |
| 1770907412 | Matthew Coleman | Military Health Care Provider | Nbhc Naval Construction Battalion Center Gulfport, 5501 Marvin Shields Blvd, Gulfport, MS 39501 | 2014-02-18 |
| Find all providers in zip 39501 | ||||
| Taxonomy Code | 207Y00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Otolaryngology, 2007. http://www.aboto.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609420991 | Greg Meekin Ent | Otolaryngology | 1201 31st Avenue, Gulfport, MS 39501 | 2019-07-25 |
| 1265900997 | Jason V Smith Md Pa | Otolaryngology | 3017 13th St, Gulfport, MS 39501-1833 | 2018-11-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205480282 | Charles Palmer Lincoln | Otolaryngology | 248 Crystal Crk, Hattiesburg, MS 39402-7748 | 2019-07-29 |
| 1386076800 | Bolivar Physician Practices LLC | Otolaryngology | 903 E Sunflower Rd, Suite 400, Cleveland, MS 38732-2835 | 2013-08-07 |
| 1467709212 | Harold Keelen Hudson | Otolaryngology | 1488 Columbine Dr, Tupelo, MS 38801-6975 | 2012-08-11 |
| 1659630911 | Tyler Wayne Winford | Otolaryngology | 401 Baptist Dr Ste 206, Madison, MS 39110-2011 | 2012-05-08 |
| 1548548217 | Edward Grant Vick Sr. | Otolaryngology | 360 Red Eagle Cir, Ridgeland, MS 39157-9775 | 2011-07-29 |
| 1588968572 | Perry Taggart Roberts | Otolaryngology | 536 Wedgewood Dr, Oxford, MS 38655-5414 | 2011-01-05 |
| 1386979961 | South Mississippi Ear, Nose and Throat | Otolaryngology | 2525 Telephone Road, Pascagoula, MS 39567 | 2009-10-15 |
| 1447494570 | Matthew Scott Stevens | Otolaryngology | 618 Pegram Dr., Tupelo, MS 38801-6632 | 2009-04-20 |
| 1194973941 | Howard B Cheek | Otolaryngology | 4080 Boxwood Circle, Jackson, MS 39211-6609 | 2008-09-05 |
| 1619150349 | Cody Boyd Aull | Otolaryngology | 1521 A 22nd Avenue, Meridian, MS 39301-4016 | 2007-12-17 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on DR. BRYAN DAVID LEATHERMAN.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.