DR. BERNARD GAYLE HARRELL (NPI# 1871575852) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871575852 |
| Entity Type | Individual |
| Full Name | DR. BERNARD GAYLE HARRELL |
| Credential | D.O. |
| Practice Address |
1080 Highway 35 S Forest MS 39074-9423 |
| Mailing Address |
Po Box 5183 Meridian MS 39302-5183 |
| Practice Telephone | 6014693555 |
| Practice Fax Number | 6014693584 |
| Mailing Telephone | 6017039506 |
| Mailing Fax Number | 6017033264 |
| Enumeration Date | 2005-11-16 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 10830 | MS | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 00013342 | 05 | |
| RAILROAD MEDICARE | 010013307 | 01 |
| Street Address |
1080 HIGHWAY 35 S |
| City | FOREST |
| State | MS |
| Zip Code | 39074-9423 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184978140 | Laboratory Corporation of America Holdings | Clinical Medical Laboratory | 1080 Highway 35 S, Forest, MS 39074-9423 | 2012-10-30 |
| 1679831531 | Scott Regional Medical Center, Inc. | Family Medicine | 1080 Highway 35 S, Forest, MS 39074-9423 | 2012-04-30 |
| 1710922638 | Marion Jewett Sorrels | Family Medicine | 1080 Highway 35 S, Forest, MS 39074-9423 | 2006-06-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467095927 | Tamatha Nicole Owen | Nurse Practitioner | 1061 Highway 35 S, Forest, MS 39074 | 2019-10-28 |
| 1154687838 | Region Ten Commission On Mental Health | Clinic/Center | 13682 Hwy 80 West, Forest, MS 39074 | 2012-04-06 |
| 1053567636 | Cathy G Cooper | Physical Therapist | 813 West 3rd Street, Forest, MS 39074 | 2008-08-14 |
| 1487866158 | Terry Ann Meadows | Clinic/Center | 330 North Broad St, Forest, MS 39074 | 2007-05-04 |
| 1770702144 | Randy K Reynolds | Dentist | 208 West 3rd Street, Forest, MS 39074 | 2007-04-24 |
| 1215067293 | John B. Smith, Jr. Dmd, Pa | Dentist | 1040 Highway 35 South, Drawer 30, Forest, MS 39074 | 2007-03-07 |
| 1225189244 | Douglas F Harvel, Jr | Dentist | 1040 Highway 35 S, Forest, MS 39074 | 2007-01-16 |
| 1861542433 | Forest Dental Practice Pllc | Dentist | Po Drawer 30, Forest, MS 39074 | 2007-01-12 |
| 1306996970 | John B Smith Jr. | Dentist | 1040 Hwy 35 South, Forest, MS 39074 | 2007-01-12 |
| 1295821072 | Buddy Lee Eady | Chiropractor | 500 East 3rd St., Forest, MS 39074 | 2006-10-05 |
| Find all providers in zip 39074 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346859188 | Cprpm, Pllc | Family Medicine | 113 Cold Branch Rd, Forest, VA 24551-2111 | 2020-07-28 |
| 1649761685 | Independent Healthcare Management, Inc | Family Medicine | 1 Medical Ln Ste B, Forest, MS 39074-4039 | 2018-05-25 |
| 1427500958 | Independent Healthcare Management, Inc. | Family Medicine | 1123 Highway 35 S Ste 3, Forest, MS 39074-8829 | 2016-11-01 |
| 1972975175 | Collaborative Health Partners, LLC | Family Medicine | 1111 Corporate Park Dr Ste D, Forest, VA 24551-2279 | 2015-10-27 |
| 1235206699 | Kari Michelle Adams | Family Medicine | 16890 Forest Rd, Forest, VA 24551-4059 | 2006-11-29 |
| 1518994573 | Douglas M Farrago | Family Medicine | 1149 Vista Park Dr, Suite C, Forest, VA 24551-4684 | 2006-06-27 |
| 1235119181 | Forest Family Practice Clinic Pa | Family Medicine | 1 Medical Ln, Forest, MS 39074-4039 | 2006-01-18 |
| 1700869906 | Thomas W Eppes | Family Medicine | 1175 Corporate Park Dr, Forest, VA 24551-2238 | 2005-11-22 |
| 1750363511 | Susan S Coggin | Family Medicine | 1088 London Links Dr, Forest, VA 24551-4662 | 2005-11-17 |
| 1801887344 | David Middleton Smith | Family Medicine | 2103 Graves Mill Rd, Forest, VA 24551-2675 | 2005-11-03 |
| Find all providers in FOREST | ||||
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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.