Brenda Jordan (NPI# 1659620003, PAC ID# 8123249687) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PATHOLOGY.
| Nation Provider ID (NPI) | 1659620003 |
| PAC ID by PECOS | 8123249687 |
| Professional Enrollment ID | I20141027000461 |
| Full Name | Brenda Jordan |
| Organization Legal Name | HUB CARE PATHOLOGY, P.A. |
| Address |
5052 W 4th St Hattiesburg MS 39402-1069 |
| Phone Number | 6012612587 |
| Gender | F |
| Medical School | UNIVERSITY OF MISSISSIPPI SCHOOL OF MEDICINE |
| Graduation Year | 2008 |
| Primary Specialty | PATHOLOGY |
| Group Practice PAC ID | 3173616240 |
| Number of Group Practice Members | 9 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 250031 | MERIT HEALTH RIVER REGION |
| Address | Phone | Organization |
|---|---|---|
| 5052 W 4th St, Hattiesburg, MS 39402-1069 | 6012612587 | HUB CARE PATHOLOGY, P.A. |
| Organization Legal Name | HUB CARE PATHOLOGY, P.A. |
| Physicians | 9 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Volney E Pierce Jr. | Pathology | Hub Care Pathology, P.a. | 5052 W 4th St, Hattiesburg, MS 39402-1069 |
| Kurt Gregory Kratz | Pathology | Hub Care Pathology, P.a. | 161 River Oaks Dr, Canton, MS 39046-5375 |
| Delia A Smith | Pathology | Hub Care Pathology, P.a. | 5052 W 4th St, Hattiesburg, MS 39402-1069 |
| Barbara J Proctor | Pathology | Hub Care Pathology, P.a. | 5052 W 4th St, Hattiesburg, MS 39402-1069 |
| Lynda I Gentchev | Pathology | Hub Care Pathology, P.a. | 5052 W 4th St, Hattiesburg, MS 39402-1069 |
| Donald H Gale | Pathology | Hub Care Pathology, P.a. | 5052 W 4th St, Hattiesburg, MS 39402-1069 |
| Dinesh Nmi Rugnath | Pathology | Hub Care Pathology, P.a. | 5052 W 4th St, Hattiesburg, MS 39402-1069 |
| Thomas Edwards Carey | Pathology | Hub Care Pathology, P.a. | 5052 W 4th St, Hattiesburg, MS 39402-1069 |
| Street Address |
5052 W 4TH ST |
| City | HATTIESBURG |
| State | MS |
| Zip | 39402-1069 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Volney E Pierce Jr. | Pathology | Hub Care Pathology, P.a. | 5052 W 4th St, Hattiesburg, MS 39402-1069 |
| Delia A Smith | Pathology | Hub Care Pathology, P.a. | 5052 W 4th St, Hattiesburg, MS 39402-1069 |
| Barbara J Proctor | Pathology | Hub Care Pathology, P.a. | 5052 W 4th St, Hattiesburg, MS 39402-1069 |
| Lynda I Gentchev | Pathology | Hub Care Pathology, P.a. | 5052 W 4th St, Hattiesburg, MS 39402-1069 |
| Donald H Gale | Pathology | Hub Care Pathology, P.a. | 5052 W 4th St, Hattiesburg, MS 39402-1069 |
| Dinesh Nmi Rugnath | Pathology | Hub Care Pathology, P.a. | 5052 W 4th St, Hattiesburg, MS 39402-1069 |
| Thomas Edwards Carey | Pathology | Hub Care Pathology, P.a. | 5052 W 4th St, Hattiesburg, MS 39402-1069 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| William T Cochran | Physical Therapy | 98 Place Blvd, Suite 52, Hattiesburg, MS 39402 | |
| Paul E Zeagler | Physical Therapy | Hattieburg Physical Therapy Center | 98 Place Blvd, Suite 52, Hattiesburg, MS 39402 |
| Jennifer Stewart | Physical Therapy | Drayer Physical Therapy Institute LLC | 6134 Hwy 98 W, Hattiesburg, MS 39402 |
| Paul M Rocconi | Diagnostic Radiology | Comprehensive Radiology Services, Pllc | 5000 W 4th St, Hattiesburg, MS 39402-1000 |
| Eula D Posey | Nurse Practitioner | 4 Willow Pt, 40 Hutton Healthcare Services, Hattiesburg, MS 39402-1150 | |
| Joseph W Farina Jr. | Neurology | 4 Willow Pointe, Suite 110, Hattiesburg, MS 39402-1150 | |
| David J Ware Ii | Certified Registered Nurse Anesthetist (crna) | Hattiesburg Gi Associates, Pllc | 100 Methodist Hospital Blvd, Hattiesburg, MS 39402-1295 |
| Henry Creed Fox | Gastroenterology | Hattiesburg Gi Associates, Pllc | 100 Methodist Hospital Blvd, Hattiesburg, MS 39402-1295 |
| William M Farmer | Emergency Medicine | Hattiesburg Gi Associates, Pllc | 100 Methodist Hospital Blvd, Hattiesburg, MS 39402-1295 |
| Patrick J Sanchez | Gastroenterology | Hattiesburg Gi Associates, Pllc | 100 Methodist Hospital Blvd, Hattiesburg, MS 39402-1295 |
| Find all physicians in zip 39402 | |||
| City | HATTIESBURG |
| Zip Code | 39402 |
| Specialty | PATHOLOGY |
| City + Specialty | HATTIESBURG + PATHOLOGY |
Please comment or provide details below to improve the information on Brenda Jordan.
| 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.