Individual
BRYAN A. GASPARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
971 LAKELAND DR STE 1250, JACKSON, MS 39216-4609
(601) 200-5955
(601) 200-5939
Mailing address
5959 S SHERWOOD FOREST BLVD, BATON ROUGE, LA 70816-6038
(601) 200-5955
(225) 765-4278
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
21587
MS
207T00000X
Neurological Surgery Physician
31518
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04383309
—
MS
05
—
2189662
—
LA
Enumeration date
08/01/2011
Last updated
07/12/2024
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