Bryan Tipton Sullivan
DPM | Podiatrist | 39+ years Exp
1915 Dunbarton Drive, Jackson
Mississippi, 39216
601-982-3338 601-982-2253
Maps & DirectionsBryan Tipton Sullivan is a Jackson, Mississippi based podiatrist with 39 years of experience in Podiatry. He completed his graduation from California School Of Podiatric Medicine in 1986. He is also affiliated with hospitals like Mississippi Baptist Medical Center and St Dominic-jackson Memorial Hospital. He may accept the Medicare-approved amount. Patients may be billed for more than the Medicare deductible and coinsurance. Active license number of Bryan Tipton Sullivan for Podiatry is 80089 in Mississippi.
Bryan Tipton Sullivan is qualified with a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. He diagnose and treat foot diseases and deformities. He can perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
Complete Profile:
Bryan Tipton Sullivan speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
| Specialization: | Podiatry |
| Credentials: | DPM |
| Experience: | 39+ years |
| Medical School Attended: | California School Of Podiatric Medicine |
| Graduation Year: | 1986 |
| Gender: | Male |
| Accepts Medicare Assignment: | May Accept |
| Practice Address: | 1915 Dunbarton Drive, Jackson,
Mississippi, 39216 |
| Phone: | 601-982-3338 |
| Fax: | 601-982-2253 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| PAC ID: | 1658446885 |
| Enrollment ID: | I20080821000621 |
| NPI Number: | 1164592044 |
| NPI Enumeration Date: | 08 Nov, 2006 |
| NPI Last Update On: | 05 Jun, 2008 |
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Bryan Tipton Sullivan are as mentioned below.
| License Number | Specialization | State | Status | |
| 80089 | Podiatry | Mississippi | Primary | |
Hospital Affiliation:
Doctors are affiliated to many hospitals whom they worked with in the past or are presently working with. One surgeon can be affiliated to four to five hospitals at a time.
| Hospital Name (CCN) | State | Hospital Type |
| Mississippi Baptist Medical Center (250102) | Jackson, MS | Acute Care Hospital |
| St Dominic-jackson Memorial Hospital (250048) | Jackson, MS | Acute Care Hospital |
Other Medical Identifiers:
Other legacy medical identifiers associated with Bryan Tipton Sullivan such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 00012910 | Medicaid | Mississippi | |
| 480007636 | Other | | RAILROAD MEDICARE |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 1915 Dunbarton Drive,
Jackson, Mississippi |
| Zip: | 39216 |
| Phone Number: | 601-982-3338 |
| Fax Number: | 601-982-2253 |
Patients can reach Bryan Tipton Sullivan at
1915 Dunbarton Drive, Jackson, Mississippi or can
call to book an appointment on 601-982-3338.
Comments/ Reviews:
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** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 October, 2025.