Brynna Korin Burnsed, PA
Individual provider Active NPI Physician Assistant · Natchez, MS
NPI 1053695668 · NPPES record last updated May 2, 2022
Key facts
- NPI
- 1053695668
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- PA00286 (MS)
- Practice address
- 54 SGT Prentiss Dr
Natchez, MS 39120-4726 - Phone
- (601) 443-2100
- NPI assigned
- Sep 30, 2011
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 4
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MS
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160419002476 | MS | Practitioner - Physician Assistant | 0941467179 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Singing River Health System | Current |
Accepting new patients | |
| Greater Mobile Urgent Care | Past | Accepting new patients |
Locations
2101 Highway 90
Gautier, MS 39553
Phone (228) 497-7576
3535 Bienville Blvd
Ocean Springs, MS 39564
Phone (228) 818-1111
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA.780 | AL | |
| Physician Assistant | 363A00000X | PA00286 | MS | Yes |
Addresses
Primary practice location
54 SGT Prentiss Dr
Natchez, MS 39120-4726
Mailing address
3535 Bienville Blvd
Regional Cancer Center
Ocean Springs, MS 39564-5705
Phone (228) 809-5251
Other practice location 1
3535 Bienville Blvd
Regional Cancer Center
Ocean Springs, MS 39564-5705
Phone (228) 809-5251
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | bburnsed23792@direct.mysrhs.com | Health Information Exchange (HIE) |
Other providers in Natchez, MS
- Teresa Lowery Bryan
- Clayton Buck
- Anthony L. Buckles
- Amanda Marie Burchfield
- Kimberly H Burkley
- Donna E Burris
- Byrons Drug Store Inc
- Angela Calcote
- Raven M. Campbell-Smith
- Haley Sharp Campbell
All providers in Natchez, MS · Physician Assistant in Mississippi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 2, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.