| Dr Brandi Coleman, MD | |
|
833 Highway 90, Bay St Louis, MS 39520-1601 | |
| (228) 396-3141 | |
| (601) 496-8100 |
| Full Name | Dr Brandi Coleman |
|---|---|
| Gender | Female |
| Speciality | Pediatrics |
| Location | 833 Highway 90, Bay St Louis, Mississippi |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942241922 | NPI | - | NPPES |
| 00125851 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 17720 (Mississippi) | Primary |
| Entity Name | State Of Mississippi-university Of Mississippi Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1154317527 PECOS PAC ID: 1850293036 Enrollment ID: O20090414000575 |
| Entity Name | Memorial Hospital At Gulfport |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1215546635 PECOS PAC ID: 2466524012 Enrollment ID: O20090515000396 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Brandi Coleman, MD 2500 North State Street, Jmm Suite 2525, Jackson, MS 39216-1810 Ph: (601) 815-9528 | Dr Brandi Coleman, MD 833 Highway 90, Bay St Louis, MS 39520-1601 Ph: (228) 396-3141 |
Shama Shakir, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 109 Hospital Dr, Bay St Louis, MS 39520 Phone: 228-463-9666 Fax: 228-463-0712 | |
Denise Elaine Powell, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 149 Drinkwater Rd, Bay St Louis, MS 39520 Phone: 228-468-8600 Fax: 228-467-8349 |