DR. BRIANA POLK (NPI# 1720617079) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720617079 |
| Entity Type | Individual |
| Full Name | DR. BRIANA POLK |
| Credential | DMD |
| Practice Address |
Keesler Air Force Base, 301 Fisher Street Biloxi MS 39534 |
| Practice Telephone | 2283760511 |
| Enumeration Date | 2020-04-07 |
| Last Update Date | 2020-08-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | 9628 | SC | Student, Health Care |
| Street Address |
KEESLER AIR FORCE BASE, 301 FISHER STREET |
| City | BILOXI |
| State | MS |
| Zip Code | 39534 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316568918 | Hanna Chang | Student in an Organized Health Care Education/Training Program | 81 Msgs/gme (keesler Afb), 301 Fisher St, Rm 5a127, Biloxi, MS 39534 | 2020-05-05 |
| 1437718756 | Marquise Westbrook | Student in an Organized Health Care Education/Training Program | 301 Fisher St, Rm 1g123, Keesler Afb, MS 39534 | 2019-06-11 |
| 1124682729 | Joseph Paul Cervone | Student in an Organized Health Care Education/Training Program | 81 Mdss/gme 301 Fisher St, Rm 1g123, Keesler Afb, MS 39534 | 2019-04-29 |
| 1083120851 | Kaitlin May Gruenberg | Student in an Organized Health Care Education/Training Program | 81 Msgs/gme, 301 Fisher St, Rm 5a127, Keesler Afb, MS 39534 | 2017-12-15 |
| 1760912513 | Michael Zipper | Military Health Care Provider | 301 Fisher St, Rm 5a127, 81msgs/sgcq, Keesler Afb, MS 39534 | 2017-06-14 |
| 1184073181 | 81msgs/sgcq | General Acute Care Hospital | 81msgs/sgcq, 301 Fisher St, Rm 5a127, Keesler Afb, MS 39534 | 2016-06-09 |
| 1174972772 | Usaf 81st Medical Group | Military Hospital | 81msgs/sgcq 301 Fisher St, Rm 5a127, Keesler Afb, MS 39534 | 2016-06-06 |
| 1548644677 | Jim Li | Dentist | 81st Medical Group, Keesler Afb, Apo, AA 39534 | 2015-07-18 |
| 1245610872 | Zachary Austin Masters | Surgery | 301 Fisher Street, Rm 5a127, Keesler Air Force Base, MS 39534 | 2015-06-09 |
| 1023498284 | Je Hyung Park | Preventive Medicine | 301 Fisher St Rm 5a127, Keesler Afb, MS 39534 | 2015-06-03 |
| Find all providers in zip 39534 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902413974 | Katharine Bogard | Student in an Organized Health Care Education/Training Program | 2032 Tuilleries Cv, Biloxi, MS 39531-2423 | 2020-09-24 |
| 1831701036 | Cameron Thomas Beckham | Student in an Organized Health Care Education/Training Program | 238 Garfield Ave, Biloxi, MS 39531-3342 | 2020-08-19 |
| 1316568918 | Hanna Chang | Student in an Organized Health Care Education/Training Program | 81 Msgs/gme (keesler Afb), 301 Fisher St, Rm 5a127, Biloxi, MS 39534 | 2020-05-05 |
| 1184254682 | Cynthia Nguyen | Student in an Organized Health Care Education/Training Program | 15409 Glen Dr, Biloxi, MS 39532-7337 | 2020-01-23 |
| 1235783622 | Luis Fernando Valdivia Montoya | Student in an Organized Health Care Education/Training Program | 282 Big Lake Rd Apt 59, Biloxi, MS 39531-3708 | 2019-07-24 |
| 1831686005 | Bentley Howard Massey II | Student in an Organized Health Care Education/Training Program | 151 Grande View Dr Apt 221, Biloxi, MS 39531-4738 | 2018-04-13 |
| 1568830453 | Garrett Reilly | Student in an Organized Health Care Education/Training Program | 202 Curtiss Dr, Biloxi, MS 39531-6120 | 2015-09-09 |
| 1891307096 | Allison Kathleen Rita Hauge | Student in an Organized Health Care Education/Training Program | 301 Fisher St, Biloxi, MS 39534-2508 | 2020-08-19 |
| 1417569625 | Ryan Woolfe | Student in an Organized Health Care Education/Training Program | 301 Fisher St, Biloxi, MS 39534-2508 | 2020-08-19 |
| 1457963027 | Crystal Lee Cowan | Student in an Organized Health Care Education/Training Program | 301 Fisher St, Biloxi, MS 39534-2508 | 2020-08-17 |
| Find all providers in BILOXI | ||||
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| 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.