Neurosurgery of Hattiesburg, PA

Primary specialty

Neurological Surgery PhysicianTaxonomy code 207T00000X

License

13446 Issued in MS

Legal business name

NEUROSURGERY OF HATTIESBURG, PA

Practice address

5003 Hardy St
Ste 401
Hattiesburg, MS 39402-1319

Phone

(601) 268-8535

Fax

(601) 268-8541

NPI assigned

Sep 21, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Kerry Bernardo, MD

Title

President

Phone

(601) 268-8535

Specialties & licenses 1

Addresses

Other identifiers 1

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1073612651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5003 HARDY ST",
            "address_2": "STE 401",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "394021319",
            "telephone_number": "601-268-8535",
            "fax_number": "601-268-8541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5003 HARDY ST",
            "address_2": "STE 401",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "394021319",
            "telephone_number": "601-268-8535",
            "fax_number": "601-268-8541"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEUROSURGERY OF HATTIESBURG, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BERNARDO",
        "authorized_official_first_name": "KERRY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "601-268-8535",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Neurological Surgery",
            "state": "MS",
            "license": "13446",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "09014874",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kiper Cecil Nelson, M.D.
• Labrea Shavon Nelson, LCSW
• Hora Nemati Rezvani, MD
• Ujwal Reddy Neravetla, MD
• Kristi Hill Nesler, PHARM.D.
• Stephen Nevill
• New Beginnings Compassionate Care LLC
• New Leaf Therapy LLC
• Briley Newcomb
• Christopher Lee Newman, DO

• Neurological Surgery Physician in Hattiesburg, MS
• Providers in Hattiesburg, MS by specialty
• Neurological Surgery Physician in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.