GULF COAST BRAIN & SPINE INSTITUTE (NPI# 1770670333) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770670333 |
| Entity Type | Organization |
| Organization Name | GULF COAST BRAIN & SPINE INSTITUTE |
| Practice Address |
1340 Broad Avenue Gulfport MS 39501 |
| Practice Telephone | 2288674856 |
| Practice Fax Number | 2288674857 |
| Mailing Telephone | 2288674856 |
| Mailing Fax Number | 2288674857 |
| Enumeration Date | 2006-10-06 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. JAMES R DOTY (NEUROSURGEON) |
| Authorized Official Telephone | 2288674856 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207T00000X | Neurological Surgery | 18374 | MS | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 08253741 | 05 |
| Street Address |
1340 BROAD AVENUE |
| City | GULFPORT |
| State | MS |
| Zip Code | 39501 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225096860 | Joseph A Graham | Surgery | 1340 Broad Avenue, Suite 220, Gulfport, MS 39501 | 2006-05-03 |
| 1205997251 | Chelsea R Grow | Psychiatry & Neurology | 1340 Broad Avenue, Ste 440, Gulfport, MS 39501 | 2006-12-13 |
| 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 | 207T00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Neurological Surgery |
| A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Neurological Surgery, 2007. http://www.abns.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Neurological Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568773901 | Sam Shamsnia | Neurological Surgery | 1340 Broad Ave Ste 440, Gulfport, MS 39501-2460 | 2010-06-30 |
| 1780900605 | Memorial Hospital At Gulfport | Neurological Surgery | 1340 Broad Ave, Suite 440, Gulfport, MS 39501-2404 | 2010-04-16 |
| 1386973535 | Spinal & Neurological Surgery of South Ms Pllc | Neurological Surgery | 11010 David St, Suite B, Gulfport, MS 39503-3481 | 2009-12-17 |
| 1184756157 | Jhinho None Kim | Neurological Surgery | 1340 Broad Ave, Suite 440, Gulfport, MS 39501-2404 | 2007-03-12 |
| 1336229046 | Spinal & Neurological Surgery of South Ms | Neurological Surgery | 15190 Community Rd, Ste 300, Gulfport, MS 39503 | 2006-10-17 |
| 1740240951 | Remi Nader | Neurological Surgery | 1340 Broad Ave, Ste. 440, Gulfport, MS 39501-2404 | 2006-03-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407173453 | Menarvia Nixon Gaddis | Neurological Surgery | 1860 Chadwick Dr Ste 305, Jackson, MS 39204-3467 | 2010-04-30 |
| 1346485794 | Lon F Alexander Md Pllc | Neurological Surgery | 1860 Chadwick Dr Ste 205, Jackson, MS 39204-3466 | 2008-12-12 |
| 1144349168 | Delta Physician Practices | Neurological Surgery | 1703 Hospital St, Greenville, MS 38703-3225 | 2007-03-29 |
| 1497872212 | Timothy M. Wiebe | Neurological Surgery | 103 Aldersgate Cir, Hattiesburg, MS 39402-1301 | 2007-03-25 |
| 1174686182 | St. Dominic Medical Associates LLC | Neurological Surgery | 971 Lakeland Dr. Suite 1250, Jackson, MS 39216-0000 | 2006-12-19 |
| 1194895854 | Lowry Neurosurgical Clinic, P.a. | Neurological Surgery | 1007 Jefferson St, Laurel, MS 39440-4350 | 2006-11-09 |
| 1831270560 | Axon | Neurological Surgery | 1860 Chadwick Dr Ste 258, Ste 258, Jackson, MS 39204-3486 | 2006-10-18 |
| 1013008242 | John Adrian Lancon | Neurological Surgery | 971 Lakeland Dr Ste 1250, Jackson, MS 39216-4609 | 2006-09-26 |
| 1649378191 | Robert Scott Davis | Neurological Surgery | 14209 Cook Rd., Suite 200, Memorial Physician Clinics-st Martin Neuro & Spine, Biloxi, MS 39532 | 2006-09-20 |
| 1710997135 | Edward Thomas Cullom IIi | Neurological Surgery | 1029 River Oaks Dr, Flowood, MS 39232-9554 | 2006-08-08 |
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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.