Dr Bryan David Leatherman, MD - Medicare Otolaryngology in Gulfport, MS

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Dr Bryan David Leatherman, MD is a medicare enrolled "Otolaryngology - Otolaryngic Allergy" physician in Gulfport, Mississippi. He went to University Of Mississippi School Of Medicine and graduated in 1997 and has 28 years of diverse experience with area of expertise as Otolaryngology. He is a member of the group practice Memorial Hospital At Gulfport and 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.

Contact Information

Dr Bryan David Leatherman, MD
1213 Broad Ave, Suite 4,
Gulfport, MS 39501-2475
(228) 864-2121
Not Available

Map and Direction




Physician's Profile

Full NameDr Bryan David Leatherman
GenderMale
SpecialityOtolaryngology
Experience28 Years
Location1213 Broad Ave, Gulfport, Mississippi
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Bryan David Leatherman attended and graduated from University Of Mississippi School Of Medicine in 1997
  NPI Data:
  • NPI Number: 1154367738
  • Provider Enumeration Date: 06/21/2006
  • Last Update Date: 09/11/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 4981690294
  • Enrollment ID: I20050401000609

Medical Identifiers

Medical identifiers for Dr Bryan David Leatherman such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1154367738NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Y00000XOtolaryngology 17564 (Mississippi)Secondary
207YX0602XOtolaryngology - Otolaryngic Allergy 17564 (Mississippi)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Memorial Hospital At GulfportGulfport, MSHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Memorial Hospital At Gulfport2466524012416

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Bryan David Leatherman allows following entities to bill medicare on his behalf.
Entity NameCoastal Ear, Nose And Throat, Head And Neck Surgery Associates, Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1366560435
PECOS PAC ID: 0042280067
Enrollment ID: O20040728000361
Entity NameMemorial Hospital At Gulfport
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1215546635
PECOS PAC ID: 2466524012
Enrollment ID: O20090515000396
Entity NameGulf Coast Ear Nose And Throat Associates Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1689241622
PECOS PAC ID: 8325439417
Enrollment ID: O20211228001521

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 AddressPractice 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

Reviews and Comments


Otolaryngology Doctors in Gulfport, MS

Dr. Ashley Renee Kraft, MD
Otolaryngology
Medicare: Accepting Medicare Assignments
Practice Location: 15190 Community Rd Ste 100, Gulfport, MS 39503
Phone: 228-539-3824    Fax: 228-385-7610

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.