MR. BRIAN K ERVIN (NPI# 1578707212) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578707212 |
| Entity Type | Individual |
| Full Name | MR. BRIAN K ERVIN |
| Practice Address |
430 Bay Pointe Cir Brandon MS 39047-8553 |
| Mailing Address |
1700 W Government St Suite C Brandon MS 39042-2417 |
| Practice Telephone | 6014544379 |
| Practice Fax Number | 6018299383 |
| Mailing Telephone | 6014544379 |
| Mailing Fax Number | 6018299383 |
| Enumeration Date | 2009-04-24 |
| Last Update Date | 2014-10-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
1946 | MS | Behavioral Health & Social Service Providers |
| N | 106H00000X | Marriage & Family Therapist | T0280 | MS | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376903252 | Brian Patrick Ervin | Physical Therapist | 1111 Superior St, Outpatient Physical Therapy, Melrose Park, IL 60160-4138 | 2016-03-04 |
| Street Address |
430 BAY POINTE CIR |
| City | BRANDON |
| State | MS |
| Zip Code | 39047-8553 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396368783 | Siyuan Chen Kennedy | Counselor | 108 Sandstone Drive, Brandon, MS 39047 | 2020-05-20 |
| 1568019784 | Juarez Brown Emerson | Registered Nurse | 426 Pinebrook Circle, Brandon, MS 39047 | 2019-08-22 |
| 1649764127 | Specialty Diagnostics LLC | Family Medicine | 1149 Old Fannin Rd Ste 22, Brandon, MS 39047 | 2018-06-19 |
| 1528423035 | Kathlene Strangeman | Social Worker | 111 Lakeshore Dr Apt G403, Brandon, MS 39047 | 2015-12-28 |
| 1174935076 | Anthony Davis | Counselor | 198 Bellegrove Cir, Brandon, MS 39047 | 2014-05-27 |
| 1144659178 | Medical Foundation of Central Ms, Inc | Family Medicine | 1887 Spillway Rd., Brandon, MS 39047 | 2013-11-12 |
| 1437429941 | Picton Timothy Evans | Pharmacist | 150 B Cumberland Ed, Brandon, MS 39047 | 2012-01-01 |
| 1275828030 | Kathryn Audell Piburn | Nurse Practitioner | 1887 Spillway Rd Ste 140, Brandon, MS 39047 | 2011-06-09 |
| 1801930532 | Susanne Reynolds Moore | Dentist | 1149 Old Fannin Rd, Suite 26, Brandon, MS 39047 | 2007-02-16 |
| 1194898429 | Brookshire Grocery Company | Durable Medical Equipment & Medical Supplies | 143 Plaza Drive Ext, Attention Pharmacy Dept, Brandon, MS 39047 | 2006-11-16 |
| Find all providers in zip 39047 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053910281 | Julie Magee Powell | Counselor | 121 Sweetgum Rd N, Brandon, MS 39047-6235 | 2020-10-19 |
| 1396368783 | Siyuan Chen Kennedy | Counselor | 108 Sandstone Drive, Brandon, MS 39047 | 2020-05-20 |
| 1457826703 | Cali Foreman | Counselor | 300 N Grove Cir, Brandon, MS 39047-6738 | 2018-10-12 |
| 1851880470 | Antwynette Brinkley Shields | Counselor | 32103 Majesty Ln, Brandon, MS 39042-2599 | 2018-05-09 |
| 1487162608 | Ruby J Jackson | Counselor | 302 Azalea Ct, Brandon, MS 39047-7952 | 2018-01-22 |
| 1538677299 | Tamara Coleman | Counselor | 2012 Brookstone Pl, Brandon, MS 39042-2959 | 2018-01-16 |
| 1619486149 | Lindsey A Lemmon | Counselor | 682 Parker Pl, Brandon, MS 39042-8493 | 2017-09-27 |
| 1750816971 | Joshua Williams | Counselor | 129 Post Oak Dr, Brandon, MS 39047-7299 | 2017-04-25 |
| 1467824474 | Jo Allison Hebert | Counselor | 400 Grants Ferry Rd, Brandon, MS 39047-9036 | 2015-10-29 |
| 1174935076 | Anthony Davis | Counselor | 198 Bellegrove Cir, Brandon, MS 39047 | 2014-05-27 |
| Find all providers in BRANDON | ||||
Please comment or provide details below to improve the information on MR. BRIAN K ERVIN.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.