Bryan Leatherman (NPI# 1154367738, PAC ID# 4981690294) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OTOLARYNGOLOGY.
Nation Provider ID (NPI) | 1154367738 |
PAC ID by PECOS | 4981690294 |
Professional Enrollment ID | I20050401000609 |
Full Name | Bryan Leatherman |
Organization Legal Name | COASTAL EAR, NOSE AND THROAT, HEAD AND NECK SURGERY ASSOCIATES, PLLC |
Address |
9000 Lorraine Rd Gulfport MS 39503-6101 |
Phone Number | 2288642121 |
Gender | M |
Credential | MD |
Medical School | UNIVERSITY OF MISSISSIPPI SCHOOL OF MEDICINE |
Graduation Year | 1997 |
Primary Specialty | OTOLARYNGOLOGY |
Group Practice PAC ID | 0042280067 |
Number of Group Practice Members | 10 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
250019 | MEMORIAL HOSPITAL AT GULFPORT |
250007 | MERIT HEALTH BILOXI |
Address | Phone | Organization |
---|---|---|
9000 Lorraine Rd, Gulfport, MS 39503-6101 | 2288642121 | COASTAL EAR, NOSE AND THROAT, HEAD AND NECK SURGERY ASSOCIATES, PLLC |
Organization Legal Name | COASTAL EAR, NOSE AND THROAT, HEAD AND NECK SURGERY ASSOCIATES, PLLC |
Physicians | 10 |
Name | Specialty | Organization | Address |
---|---|---|---|
Michael A Seicshnaydre | Otolaryngology | Coastal Ear, Nose and Throat, Head and Neck Surgery Associates, Pllc | 4300 15th St, Gulfport, MS 39501-2524 |
Melissa K Rounsaville | Qualified Audiologist | Coastal Ear, Nose and Throat, Head and Neck Surgery Associates, Pllc | 1201 31st Ave, Gulfport, MS 39501-1847 |
Nicole Scairono Merrill | Qualified Audiologist | Coastal Ear, Nose and Throat, Head and Neck Surgery Associates, Pllc | 15190 Community Rd, Suite 100, Gulfport, MS 39503-3484 |
Katherine Hash Thames | Nurse Practitioner | Coastal Ear, Nose and Throat, Head and Neck Surgery Associates, Pllc | 15190 Community Rd, Suite 100, Gulfport, MS 39503-3484 |
Vincent J Pisciotta | Otolaryngology | Coastal Ear, Nose and Throat, Head and Neck Surgery Associates, Pllc | 15190 Community Rd, Suite 100, Gulfport, MS 39503-3484 |
Karen Williams | Qualified Audiologist | Coastal Ear, Nose and Throat, Head and Neck Surgery Associates, Pllc | 4300 15th St, Gulfport, MS 39501-2524 |
Teresa C Meece | Nurse Practitioner | Coastal Ear, Nose and Throat, Head and Neck Surgery Associates, Pllc | 4300 15th St, Gulfport, MS 39501-2524 |
Clayton Bratton | Otolaryngology | Coastal Ear, Nose and Throat, Head and Neck Surgery Associates, Pllc | 15190 Community Rd, Suite 100, Gulfport, MS 39503-3484 |
Samuel Robinson | Otolaryngology | Coastal Ear, Nose and Throat, Head and Neck Surgery Associates, Pllc | 3017 13th St, Gulfport, MS 39501-1833 |
Street Address |
9000 LORRAINE RD |
City | GULFPORT |
State | MS |
Zip | 39503-6101 |
Name | Specialty | Organization | Address |
---|---|---|---|
Jonathan Dwaine Brown | Orthopedic Surgery | Bienville Orthopaedic Specialists, LLC | 15476 Dedeaux Rd, Suite B, Gulfport, MS 39503-2637 |
Clarence Ray Quave Jr. | Physical Therapy | Encore Rehabilitation Inc | 15476 B Dedeaux Rd, Gulfport, MS 39503-2637 |
Cherryl D Purvis | Nurse Practitioner | Heart Hypertension Cholesterol and Diabetes Care LLC | 15444 Dedeaux Rd, Suite B, Gulfport, MS 39503-2637 |
Joseph M Frame | Physical Therapy | 15444 Dedeaux Rd A, Gulfport, MS 39503-2637 | |
Ricky D Roach | Podiatry | 15476 Dedeaux Rd, Gulfport, MS 39503-2637 | |
Henry T Leis | Orthopedic Surgery | Bienville Orthopaedic Specialists, LLC | 15476 Dedeaux Rd, Suite B, Gulfport, MS 39503-2637 |
Ophelia Abrahams | Occupational Therapy | Bienville Orthopaedic Specialists, LLC | 15476 Dedeaux Rd, Suite B, Gulfport, MS 39503-2637 |
Jason Lowery | Physician Assistant | Bienville Orthopaedic Specialists, LLC | 15476 Dedeaux Rd, Suite B, Gulfport, MS 39503-2637 |
Eric Jason Graham | Orthopedic Surgery | Bienville Orthopaedic Specialists, LLC | 15476 Dedeaux Rd, Suite B, Gulfport, MS 39503-2637 |
Nicole Lynn Johnson | Nurse Practitioner | Bienville Orthopaedic Specialists, LLC | 15476 Dedeaux Rd, Suite B, Gulfport, MS 39503-2637 |
Find all physicians in zip 39503 |
City | GULFPORT |
Zip Code | 39503 |
Specialty | OTOLARYNGOLOGY |
City + Specialty | GULFPORT + OTOLARYNGOLOGY |
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Data Provider | Centers for Medicare & Medicaid Services (CMS) |
Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.