Individual
BRYAN TIPTON SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
1915 DUNBARTON DRIVE, JACKSON, MS 39216
(601) 982-3338
(601) 982-2253
Mailing address
1915 DUNBARTON DRIVE, JACKSON, MS 39216
(601) 982-3338
(601) 982-2253
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
80089
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00012910
—
MS
01
—
480007636
RAILROAD MEDICARE
—
Enumeration date
11/08/2006
Last updated
06/05/2008
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us