Brandie Delane Bennett (NPI# 1427474832, PAC ID# 2860625753) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICAL THERAPY.
| Nation Provider ID (NPI) | 1427474832 |
| PAC ID by PECOS | 2860625753 |
| Professional Enrollment ID | I20140430000253 |
| Full Name | Brandie Delane Bennett |
| Organization Legal Name | HATTIESBURG CLINIC PA |
| Address |
1238 Hwy 42 Sumrall MS 39482-9519 |
| Phone Number | 6017583100 |
| Gender | F |
| Graduation Year | 2009 |
| Primary Specialty | PHYSICAL THERAPY |
| Group Practice PAC ID | 5193706794 |
| Number of Group Practice Members | 443 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 1238 Hwy 42, Sumrall, MS 39482-9519 | 6017583100 | HATTIESBURG CLINIC PA |
| Organization Legal Name | HATTIESBURG CLINIC PA |
| Physicians | 430 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kabeer Burman | Hospitalist | Hattiesburg Clinic Pa | 415 S 28th Ave, Hattiesburg Clinic Department of Neurosurgery, Hattiesburg, MS 39401-7246 |
| James G Powell | Endocrinology | Hattiesburg Clinic Pa | 421 S 28th Ave, Hattiesburg, MS 39401-7206 |
| Darvin L Sibley | Certified Registered Nurse Anesthetist (crna) | Hattiesburg Clinic Pa | 6051 U S Hwy 49, Forrest General Hospital, Hattiesburg, MS 39401-7200 |
| Rebecca W Lauderdale | Internal Medicine | Hattiesburg Clinic Pa | 7 Medical Blvd, Hattiesburg, MS 39401-7231 |
| Philip B Mellen | Internal Medicine | Hattiesburg Clinic Pa | 10 Medical Blvd, Hattiesburg, MS 39401-7230 |
| Ralph C Kahler | Internal Medicine | Hattiesburg Clinic Pa | 415 S 28th Ave Fl, Hattiesburg, MS 39401-7246 |
| Gregory Owens | Gastroenterology | Hattiesburg Clinic Pa | 511 W Laurel Ave, Downtown Medical Associates, Hattiesburg, MS 39401-3504 |
| Mohammad Ik Anindo | Hospitalist | Hattiesburg Clinic Pa | 415 S 28th Ave, Hattiesburg, MS 39401-7246 |
| Victor Polito | Certified Registered Nurse Anesthetist (crna) | Hattiesburg Clinic Pa | 6051 U S Hwy 49, Forrest General Hospital, Hattiesburg, MS 39401-7200 |
| Laurie Douglas | Hematology/oncology | Hattiesburg Clinic Pa | 415 S 28th Ave, Hattiesburg, MS 39401-7246 |
| Street Address |
1238 HWY 42 |
| City | SUMRALL |
| State | MS |
| Zip | 39482-9519 |
| City | SUMRALL |
| Zip Code | 39482 |
| Specialty | PHYSICAL THERAPY |
| City + Specialty | SUMRALL + PHYSICAL THERAPY |
Please comment or provide details below to improve the information on Brandie Delane Bennett.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.