Individual
BRENT D BEVARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1 LINCOLN PKWY STE 300, HATTIESBURG, MS 39402-3261
(601) 261-1600
(601) 268-5819
Mailing address
415 S 28TH AVE, HATTIESBURG, MS 39401-7246
(601) 261-1600
(601) 579-5240
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
18004
MS
208100000X
Physical Medicine & Rehabilitation Physician
A-1167-01
NM
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
18004
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03184271
—
MS
Enumeration date
07/27/2006
Last updated
03/25/2025
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