BRENT D BEVARD (NPI# 1669486692) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669486692 |
| Entity Type | Individual |
| Full Name | BRENT D BEVARD |
| Credential | DO |
| Practice Address |
1 Lincoln Pkwy Suite 103 Hattiesburg MS 39402-3262 |
| Mailing Address |
415 S 28th Ave Hattiesburg MS 39401-7246 |
| Practice Telephone | 6012611600 |
| Practice Fax Number | 6012685819 |
| Mailing Telephone | 6012611600 |
| Mailing Fax Number | 6015795240 |
| Enumeration Date | 2006-07-27 |
| Last Update Date | 2020-07-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208100000X | Physical Medicine & Rehabilitation | 18004 | MS | Allopathic & Osteopathic Physicians |
| N | 208100000X | Physical Medicine & Rehabilitation | A-1167-01 | NM | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 03184271 | 05 |
| Street Address |
1 LINCOLN PKWY SUITE 103 |
| City | HATTIESBURG |
| State | MS |
| Zip Code | 39402-3262 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346691714 | Billy J Thornton | Nurse Practitioner | 1 Lincoln Pkwy, Suite 202, Hattiesburg, MS 39402-3262 | 2016-06-28 |
| 1568874808 | Lacey Loy Herrington | Student in an Organized Health Care Education/Training Program | 1 Lincoln Pkwy, Hattiesburg, MS 39402-3262 | 2014-05-21 |
| 1790104750 | Southern Laboratory Services, LLC | Clinical Medical Laboratory | 1 Lincoln Pkwy, Suite 101, Hattiesburg, MS 39402-3262 | 2014-04-07 |
| 1710302922 | Tamra Lynn Thomas | Nurse Practitioner | 1 Lincoln Pkwy, Suite 202, Hattiesburg, MS 39402-3262 | 2014-02-25 |
| 1629403480 | Forrest County General Hospital | Obstetrics & Gynecology | 1 Lincoln Pkwy, Suite 103, Hattiesburg, MS 39402-3262 | 2013-09-11 |
| 1356774772 | Christina I Williams | Psychologist | 1 Lincoln Pkwy, Suite 202, Hattiesburg, MS 39402-3262 | 2013-08-21 |
| 1447682729 | Steffany Bedwell | Nurse Practitioner | 1 Lincoln Pkwy, Suite 103, Hattiesburg, MS 39402-3262 | 2013-08-08 |
| 1689016065 | Philip C Hemphill | Social Worker | 1 Lincoln Pkwy, Suite 204, Hattiesburg, MS 39402-3262 | 2013-07-25 |
| 1023350006 | Lincoln Center Clinic | Family Medicine | 1 Lincoln Pkwy, Suite 302, Hattiesburg, MS 39402-3262 | 2013-03-18 |
| 1750630232 | Health Partners, Pa | Clinic/Center | 1 Lincoln Pkwy, Suite 302, Hattiesburg, MS 39402-3262 | 2012-08-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518572965 | Resilient Therapy and Solutions, Pllc | Clinic/Center | 5266 Old Hwy 11 Ste 50, #308, Hattiesburg, MS 39402 | 2020-09-12 |
| 1932710225 | Jones County Medical Supplies, Inc | Durable Medical Equipment & Medical Supplies | 6424 Hwy 98 West, Suite 20, Hattiesburg, MS 39402 | 2020-08-11 |
| 1467086736 | Elizabeth A. Perry | Technician | 1220 Marrie St, Hattiesburg, MS 39402 | 2020-02-26 |
| 1225678063 | Connor Gregory Galloway | Physical Therapist | 3688 Veteran Memorial Drive, Hattiesburg, MS 39402 | 2020-01-09 |
| 1487291456 | Megan Marie Smith | Social Worker | 11 Woodstone Plaza, Hattiesburg, MS 39402 | 2019-12-09 |
| 1821656612 | Julie Covington Mcmahan | Dentist | 100 Madison Plaza, Hattiesburg, MS 39402 | 2019-06-05 |
| 1295392074 | Hattiesburg Clinic, Pa | Preventive Medicine | 6414 Highway 98, Suite 120, Hattiesburg, MS 39402 | 2019-05-28 |
| 1760945356 | Rachandeep Chahal | Student in an Organized Health Care Education/Training Program | 5001 Hardy Street Merit Health Wesley, Hattiesburg, MS 39402 | 2019-04-10 |
| 1386101137 | Courtney L Smith | Behavior Technician | 32 Millbanch Road, Suite 40, Hattiesburg, MS 39402 | 2019-02-28 |
| 1891269940 | Amanda Laine Mcarthur-macisaac | Registered Nurse | 5909 Highway 49 South, Suite 30, Hattiesburg, MS 39402 | 2019-01-11 |
| Find all providers in zip 39402 | ||||
| Taxonomy Code | 208100000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Physical Medicine & Rehabilitation |
| Physical medicine and rehabilitation, also referred to as rehabilitation medicine, is the medical specialty concerned with diagnosing, evaluating, and treating patients with physical disabilities. These disabilities may arise from conditions affecting the musculoskeletal system such as neck and back pain, sports injuries, or other painful conditions affecting the limbs, such as carpal tunnel syndrome. Alternatively, the disabilities may result from neurological trauma or disease such as spinal cord injury, head injury or stroke. A physician certified in physical medicine and rehabilitation is often called a physiatrist. The primary goal of the physiatrist is to achieve maximal restoration of physical, psychological, social and vocational function through comprehensive rehabilitation. Pain management is often an important part of the role of the physiatrist. For diagnosis and evaluation, a physiatrist may include the techniques of electromyography to supplement the standard history, physical, x-ray and laboratory examinations. The physiatrist has expertise in the appropriate use of therapeutic exercise, prosthetics (artificial limbs), orthotics and mechanical and electrical devices. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Physical Medicine and Rehabilitation, 2007. http://www.abpmr.org/. American Osteopathic Board of Physical Medicine and Rehabilitation, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Physical Medicine and Rehabilitation. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Physical Medicine and Rehabilitation. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750882080 | Hattiesburg Clinic, Pa | Physical Medicine & Rehabilitation | 2 Southern Point Pkwy Ste 200, Hattiesburg, MS 39401-8025 | 2018-02-22 |
| 1073746152 | Interventional Spine & Sports Institute | Physical Medicine & Rehabilitation | 105 Asbury Cir Ste B, Hattiesburg, MS 39402-1397 | 2009-08-24 |
| 1407470990 | Hattiesburg Clinic, Pa | Physical Medicine & Rehabilitation | 103 Medical Park, Hattiesburg, MS 39401-9042 | 2020-06-01 |
| 1619171188 | Parker Lynn Bell | Physical Medicine & Rehabilitation | 415 S 28th Ave, Hattiesburg, MS 39401-7246 | 2007-06-11 |
| 1972633923 | Brian Scott Trussell | Physical Medicine & Rehabilitation | 105 Asbury Cir, Suite B, Hattiesburg, MS 39402-1397 | 2007-03-07 |
| 1205917143 | Hattiesburg Clinic Pa | Physical Medicine & Rehabilitation | 415 S 28th Ave, Hattiesburg, MS 39401-7246 | 2006-10-18 |
| 1144244351 | Barbara S Barnard | Physical Medicine & Rehabilitation | 415 S 28th Ave, Hattiesburg, MS 39401-7246 | 2006-07-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497367494 | Adrianna Carpenter | Physical Medicine & Rehabilitation | 1020 River Oaks Dr Ste 112, Flowood, MS 39232-9511 | 2020-08-20 |
| 1700348133 | Collaborative Health and Rehabilitation Services, Inc | Physical Medicine & Rehabilitation | 1068 Buck Cir, Summit, MS 39666-9723 | 2019-04-04 |
| 1790275956 | Gulf Coast Wellness Center Inc | Physical Medicine & Rehabilitation | 2318 Pass Rd Ste 7c, Biloxi, MS 39531 | 2018-05-14 |
| 1740500958 | Joshua Eric Tucker | Physical Medicine & Rehabilitation | 4105 Hospital St Ste 112b, Pascagoula, MS 39581 | 2010-06-10 |
| 1730304585 | Horrell H Townsend IIi | Physical Medicine & Rehabilitation | 11010 David St, Suite B, Gulfport, MS 39503-3481 | 2007-04-16 |
| 1790909067 | Laura Ann Gray | Physical Medicine & Rehabilitation | 905 Garfield St, Tupelo, MS 38801-5737 | 2007-04-11 |
| 1952462905 | Shawn X Wu | Physical Medicine & Rehabilitation | 14986 Angela Dr, Gulfport, MS 39503-3502 | 2006-12-13 |
| 1780772871 | Elizabeth Z Bozlee | Physical Medicine & Rehabilitation | 14478 Aerie Rd, Gulfport, MS 39503 | 2006-10-11 |
| 1689762288 | Jeanette Zurawski | Physical Medicine & Rehabilitation | 637 W Main St, Tupelo, MS 38804-3732 | 2006-10-10 |
| 1770694655 | John R Tait | Physical Medicine & Rehabilitation | 705 N Lamar Blvd, Oxford, MS 38655-3242 | 2006-08-31 |
| Find all providers with the same taxonomy | ||||
| City | HATTIESBURG |
| Zip Code | 39402 |
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| 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.