Brian D Hudson

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

16272 Issued in MS

Practice address

2100 Highway 61 N
Vicksburg, MS 39183-8211

Phone

(601) 883-5000

NPI assigned

Jun 8, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Claiborne County Hospital

  • Psychiatric Hospital Unit
  • Port Gibson, MS
  • NPI 1528319027
  Medicare reassignment NPD
• Claiborne County Hospital

  • Emergency Medical Services (Emergency Medicine) Physician
  • Port Gibson, MS
  • NPI 1710238324
  Medicare reassignment NPD
• Claiborne County Hospital

  • Medicare Defined Swing Bed Hospital Unit
  • Port Gibson, MS
  • NPI 1740531359
  Medicare reassignment NPD
• Claiborne County Hospital

  • Critical Access Hospital
  • Port Gibson, MS
  • NPI 1497003610
  NPD

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

{
    "created_epoch": "1149724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1238544000000",
    "number": "1154362606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1198",
            "address_2": "DEPT 03-007RC",
            "city": "VICKSBURG",
            "state": "MS",
            "postal_code": "391811198",
            "telephone_number": "601-883-4250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 HIGHWAY 61 N",
            "city": "VICKSBURG",
            "state": "MS",
            "postal_code": "391838211",
            "telephone_number": "601-883-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUDSON",
        "first_name": "BRIAN",
        "middle_name": "D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-08",
        "last_updated": "2009-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MS",
            "license": "16272",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1560065",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00125435",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Candace Houston, CPNP-PC
• Whitney Denise Houston
• Rhonda Hall Howard
• Keyawatha Nicole Howell
• Celeta Hubbard
• Tammi Hughes
• Michell Hunt-Gray
• Katrina Hunter
• Margo Hunter
• Banu Husain

• Emergency Medicine Physician in Vicksburg, MS
• Providers in Vicksburg, MS by specialty
• Emergency Medicine Physician in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.