Bryan Tipton Sullivan is a Jackson, Mississippi based male podiatrist with 38 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:
Podiatrist
Credentials:
DPM
Experience:
38+ 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:
Surgeons 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. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 March, 2024.
Comments/ Reviews:
Similar Podiatrist in Jackson, MS
Dr. Lowery H Huff, DPM Speciality: Podiatrist Address: 500 0 Woodrow Wilson Ave, MS Phone: 601-366-2661 Fax: 601-982-1740