Individual
DR. BRIAN THOMAS ANTHONY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
833 HIGHWAY 90 STE 1, BAY ST LOUIS, MS 39520-1601
(228) 575-2920
(228) 466-4677
Mailing address
PO BOX 1810, GULFPORT, MS 39502-1810
(228) 575-1194
(228) 575-2917
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
14843
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00116990
—
MT
01
—
09015599
GROUP MEDICAID NUMBER: TAX ID 64-093424
MS
Enumeration date
07/12/2005
Last updated
04/14/2022
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