Individual
BRIAN E HUMPHERYS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7148 HWY 98 WEST, SUITE 203, HATTIESBURG, MS 39402
(601) 268-5630
(601) 579-5240
Mailing address
415 S 28TH AVE, HATTIESBURG, MS 39401-7246
(601) 268-5630
(601) 579-5240
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
17658
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00125863
—
MS
05
—
1758167
—
LA
01
—
2292722
AMERICAN ADMIN GROUP
MS
Enumeration date
08/18/2006
Last updated
11/01/2023
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