Individual provider Active NPI

Brandon Lennep, MD

  • Advanced Heart Failure and Transplant Cardiology Physician
  • Jackson, MS
National Provider Identifier
1073953147
Registry record updated Aug 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Heart Failure and Transplant Cardiology PhysicianTaxonomy code 207RA0001X
License
24127 Issued in MS
Practice address
501 Marshall St Ste 104
Jackson, MS 39202-1663
Phone
(601) 969-6404
Fax
(601) 973-4541
NPI assigned
Jul 3, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Heart Failure and Transplant Cardiology Physician 207RA0001X 24127 MS Primary

Addresses

Primary practice location

501 Marshall St Ste 104
Jackson, MS 39202-1663

Mailing address

965 Ridge Lake Blvd Ste 315
Memphis, TN 38120-9401
Phone (877) 348-1281

Other practice location 1

2500 N State St
Jackson, MS 39216-4500
Phone (601) 984-5601

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200521000613 MS Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 9133448483 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
University of Mississippi School of Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Medical Foundation of Central Mississippi IncGroup PAC ID 1153216411, 274 clinicians

Practice addresses (Care Compare)

501 Marshall St
Suite 104
Jackson, MS 39202-1663
Phone (601) 969-6404

Hospital & facility affiliations

  • Mississippi Baptist Medical Center Hospital, Jackson, MS, CCN 250102
  • Tyler Holmes Memorial Hospital Cah Hospital, Winona, MS, CCN 251312
  • Baptist Medical Center-Leake Hospital, Carthage, MS, CCN 251315

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Yalobusha General Hospital CurrentSince Oct 13, 2020 Accepting new patients
Medical Foundation of Central Ms CurrentSince Sep 1, 2024 Accepting new patients
Wayne General Hospital CurrentSince Nov 28, 2020 Accepting new patients
Medical Foundation of Central Mississippi, Inc. Internal Medicine CurrentSince Sep 1, 2024 Accepting new patients
Wayne General Hospsital CurrentSince Nov 28, 2020 Accepting new patients
State of Mississippi - University of Mississippi Medical Center CurrentSince Jul 1, 2020 Accepting new patients
Yalobusha General Hospital CurrentSince Oct 13, 2020 Accepting new patients
Wayne General Hospital Current Accepting new patients
State of Mississippi - University of Mississippi Medical Center CurrentSince Jul 1, 2020 Accepting new patients
BMC - Attala, LLC PastSince Jul 21, 2024 Accepting new patients

Locations

1225 N State St
Jackson, MS 39202
Phone (601) 292-4261

2500 N State St
Jackson, MS 39216
Phone (601) 815-4775

501 Marshall St
Ste 104
Jackson, MS 39202
Phone (601) 973-4541

401 Baptist Dr
Ste 104
Madison, MS 39110
Phone (601) 605-2383

604 S Main St
Water Valley, MS 38965
Phone (662) 473-1311

950 Matthew Dr
Waynesboro, MS 39367
Phone (601) 735-5151

965 Ridge Lake Blvd
Ste 315
Memphis, TN 38120
Phone (877) 348-1281

Interoperability endpoints

  • Direct secure messaging: blennep634666@direct.bmhcc.org

Organizations & group practices 10

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1372809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723766400000",
    "number": "1073953147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "965 RIDGE LAKE BLVD STE 315",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381209401",
            "telephone_number": "877-348-1281",
            "fax_number": "901-227-3206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 MARSHALL ST STE 104",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392021663",
            "telephone_number": "601-969-6404",
            "fax_number": "601-973-4541"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2500 N State St",
            "address_purpose": "LOCATION",
            "city": "Jackson",
            "state": "MS",
            "postal_code": "392164500",
            "country_code": "US",
            "telephone_number": "601-984-5601",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LENNEP",
        "first_name": "BRANDON",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-07-03",
        "last_updated": "2024-08-16",
        "certification_date": "2024-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RA0001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Advanced Heart Failure and Transplant Cardiology",
            "state": "MS",
            "license": "24127",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, MS

Sources for this page

Verify at the official NPI Registry.