Medicomp, Inc.
Organization Active NPI Physical Therapist · Brandon, MS
NPI 1114229168 · NPPES record last updated Mar 17, 2018
Key facts
- NPI
- 1114229168
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Physical Therapist 225100000X
- Legal business name
- MEDICOMP, INC.
- Practice address
- 1392 W Government St # C
Brandon, MS 39042-3049 - Phone
- (601) 824-8814
- Fax
- (601) 824-8816
- NPI assigned
- Nov 24, 2010
- Organization subpart
- No
Authorized official
- Name
- Mr. Joseph S McNulty III
- Title
- Ceo
- Phone
- (601) 849-6440
Corporate family (same tax ID) 9
National Provider Directory
- Tax ID family
- Mediscan
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist |
225100000X | Yes |
Addresses
Primary practice location
1392 W Government St # C
Brandon, MS 39042-3049
Mailing address
1392 W Government St # C
Brandon, MS 39042-3049
Phone (601) 824-8814
Other practice location 1
2015 Highpointe Drive
Brandon, MS 39042-0000
Phone (601) 824-8814
Other practice location 2
2015 Highpointe Drive
Brandon, MS 39042-0000
Phone (601) 824-8814
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 07923828 | Medicaid | MS |
Other providers in Brandon, MS
- Mea Primary Care Plus, LLC
- Janna Means
- Medezin, LLC
- Medical Foundation of Central Ms
- Medical Foundation of Central Ms, Inc
- Shawntae Renea Melvin
- Quianti Merchant
- Nena M Merrite Williams
- Joshua Michael
- Courtney Middleton
All providers in Brandon, MS · Physical Therapist in Mississippi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 17, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.