Individual provider Active NPI

Brad H Massey, AACNP, ANP

  • Acute Care Nurse Practitioner
  • Hattiesburg, MS
National Provider Identifier
1164537445
Registry record updated Sep 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
R814032 Issued in MS
Practice address
15 Keystone Dr Ste E
Hattiesburg, MS 39402-6124
Phone
(601) 606-6326
NPI assigned
Aug 20, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 23, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X R814032 MS Primary

Addresses

Primary practice location

15 Keystone Dr Ste E
Hattiesburg, MS 39402-6124

Mailing address

348 Knight Road
Sumrall, MS 39482
Phone (601) 606-6326

Other identifiers 3

IdentifierTypeStateIssuer
00124846MedicaidMS
1582531MedicaidLA
640507572POOtherMSAMERICAN ADMIN GROUP

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090311000650 MS Practitioner - Nurse Practitioner 1254497514 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Pioneer Health Care , LLCGroup PAC ID 4789740044, 4 clinicians
Exceed Physical Therapy, LLCGroup PAC ID 8123378338, 72 clinicians

Practice addresses (Care Compare)

11837 Highland Cir
Suite 700
Gulfport, MS 39503-5035
Phone (601) 550-3153

12261 Hwy 49
Suite 1
Gulfport, MS 39503-2976
Phone (228) 265-7185

14744 N Swan Rd
Gulfport, MS 39503-8582
Phone (601) 550-3153

15 Keystone Dr
Suite E
Hattiesburg, MS 39402-6124

2120 Enterprise Dr
Biloxi, MS 39531-4039
Phone (601) 550-3153

300 Cahal St
Hattiesburg, MS 39401-2922
Phone (601) 550-3153

4 Falcon LN
Hattiesburg, MS 39401-9350
Phone (601) 550-3153

6766 Hwy 98 W
Suite 2
Hattiesburg, MS 39401-6538
Phone (601) 550-3153

6766 U S Hwy 98
Hattiesburg, MS 39402-8443
Phone (601) 550-3153

Hospital & facility affiliations

  • Adoration Home Health Home health agency, Collins, MS, CCN 257087
  • St Luke Home Health Services Home health agency, McComb, MS, CCN 257124
  • Enhabit Home Health of the Gulf Coast Home health agency, Gulfport, MS, CCN 257111
  • Mississippi Homecare of Richton Home health agency, Richton, MS, CCN 257120
  • Enhabit Home Health & Hospice Home health agency, Hattiesburg, MS, CCN 257091
  • Jefferson Davis Community Hospital Cah Hospital, Prentiss, MS, CCN 251326
  • Marion General Hospital Hospital, Columbia, MS, CCN 250085
  • Covington County Hospital Cah Hospital, Collins, MS, CCN 251325
  • Memorial Hospital at Gulfport Hospital, Gulfport, MS, CCN 250019
  • Forrest General Hospital Hospital, Hattiesburg, MS, CCN 250078

Merit-based Incentive Payment System (MIPS)

Final score
51.4 of 100Reported as individual
Quality
41.84
Promoting interoperability
0
Improvement activities
40
Cost
47.82

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
R814032MSMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Pioneer Health Care , LLC CurrentSince Jan 9, 2009 Accepting new patients
Conx Care Corporation PastSince Sep 29, 2024 Accepting new patients

Locations

4297 Hwy 42
Bassfield, MS 39421
Phone (601) 943-5060

15 Keystone Dr
Ste E
Hattiesburg, MS 39402
Phone (601) 606-6326

15 Keystone Dr
Ste B
Hattiesburg, MS 39402

300 Cahal St
Hattiesburg, MS 39401
Phone (601) 582-9157

6051 U S Highway 49
Hattiesburg, MS 39401
Phone (601) 288-2690

Interoperability endpoints

  • Direct secure messaging: brad.massey.1@8276.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/8276/brand/1/csg/1/fhir/r4

Organizations & group practices 3

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 69

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

View all 69

NPI Registry JSON

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

{
    "created_epoch": "1156032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727049600000",
    "number": "1164537445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "348 KNIGHT ROAD",
            "city": "SUMRALL",
            "state": "MS",
            "postal_code": "39482",
            "telephone_number": "601-606-6326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 KEYSTONE DR STE E",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "394026124",
            "telephone_number": "601-606-6326"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASSEY",
        "first_name": "BRAD",
        "middle_name": "H",
        "credential": "AACNP, ANP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-20",
        "last_updated": "2024-09-23",
        "certification_date": "2024-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "MS",
            "license": "R814032",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00124846",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1582531",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICAN ADMIN GROUP",
            "identifier": "640507572PO",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hattiesburg, MS

Sources for this page

Verify at the official NPI Registry.