Dr Bryan David Leatherman, MD is a medicare enrolled "Otolaryngology - Otolaryngic Allergy" physician in Gulfport, Mississippi. His current practice location is
1213 Broad Ave, Suite 4, Gulfport, Mississippi. You can reach out to his office (for appointments etc.) via phone at
(228) 864-2121.
Dr Bryan David Leatherman is licensed to practice in Mississippi (license number 17564) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1154367738.
Physician's Profile
| Full Name | Dr Bryan David Leatherman |
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| Gender | Male |
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| Speciality | |
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| Experience | Years |
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| Location | 1213 Broad Ave, Gulfport, Mississippi |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Bryan David Leatherman attended and graduated from in
NPI Data:
- NPI Number: 1154367738
- Provider Enumeration Date: 06/21/2006
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Dr Bryan David Leatherman such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1154367738 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207Y00000X | Otolaryngology | 17564 (Mississippi) | Primary |
| 207YX0602X | Otolaryngology - Otolaryngic Allergy | 17564 (Mississippi) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Bryan David Leatherman is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Bryan David Leatherman, MD
218 Oakwood Dr,
Gulfport, MS 39507-1918
Ph: (228) 896-2896 | Dr Bryan David Leatherman, MD
1213 Broad Ave, Suite 4,
Gulfport, MS 39501-2475
Ph: (228) 864-2121 |
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