Individual provider Active NPI

Brandon S Cloud, PT

  • Physical Therapist
  • Pascagoula, MS
National Provider Identifier
1184720724
Registry record updated Apr 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT3878 Issued in MS
Practice address
3615 Hospital St Ste B
Pascagoula, MS 39581-4112
Phone
(228) 215-2260
Fax
(228) 215-2261
NPI assigned
Sep 14, 2006
Last updated
Apr 18, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT3878 MS Primary

Addresses

Primary practice location

3615 Hospital St Ste B
Pascagoula, MS 39581-4112

Mailing address

PO Box 8419
Biloxi, MS 39535-8087
Phone (228) 388-5714

Other practice location 1

2210B Mill Street Ext
Lucedale, MS 39452-6064
Phone (601) 947-9005

Other identifiers 2

IdentifierTypeStateIssuer
1033218524OtherMSGROUP NPI
09015077MedicaidMS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090922000707 MS Practitioner - Physical Therapist in Private Practice 0749336477 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bienville Therapy, LLCGroup PAC ID 1254878325, 24 clinicians

Practice addresses (Care Compare)

6300 E Lake Blvd
Suite 101
Vancleave, MS 39565-6771
Phone (228) 215-2240

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Bienville Therapy, LLC Physical Therapist CurrentSince May 20, 2024 Accepting new patients
Bienville Orthopaedic Specialists, LLC CurrentSince Mar 26, 2024 Accepting new patients
Bienville Orthopaedic Specialists, LLC CurrentSince Mar 26, 2024 Accepting new patients
Bienville Therapy, LLC Physical Therapist CurrentSince May 20, 2024 Accepting new patients
Bienville Therapy, LLC Physical Therapist Current Accepting new patients
Encore Rehabilitation, Inc. Physical Therapist Past Accepting new patients
Encore Rehabilitation, Inc. Physical Therapist Past Accepting new patients

Locations

251 Johnston St SE
Ste 300
Decatur, AL 35601
Phone (256) 340-9708

42465 Highway 195
Haleyville, AL 35565
Phone (205) 486-2753

1720A Medical Park Dr
Ste 220
Biloxi, MS 39532
Phone (228) 392-9355

3615 Hospital St
#B
Pascagoula, MS 39581
Phone (228) 215-2260

6300 E Lake Blvd
Ste 101
Vancleave, MS 39565
Phone (228) 215-2240

6300 E Lake Blvd
Ste 201
Vancleave, MS 39565
Phone (228) 206-2263

6300 E Lake Blvd
Ste 301
Vancleave, MS 39565

Organizations & group practices 7

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

NPI Registry JSON

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

{
    "created_epoch": "1158192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713398400000",
    "number": "1184720724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8419",
            "city": "BILOXI",
            "state": "MS",
            "postal_code": "395358087",
            "telephone_number": "228-388-5714",
            "fax_number": "228-388-0017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3615 HOSPITAL ST STE B",
            "city": "PASCAGOULA",
            "state": "MS",
            "postal_code": "395814112",
            "telephone_number": "228-215-2260",
            "fax_number": "228-215-2261"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2210B Mill Street Ext",
            "address_purpose": "LOCATION",
            "city": "Lucedale",
            "state": "MS",
            "postal_code": "394526064",
            "country_code": "US",
            "telephone_number": "601-947-9005",
            "fax_number": "601-947-9007",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CLOUD",
        "first_name": "BRANDON",
        "middle_name": "S",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-14",
        "last_updated": "2024-04-18",
        "certification_date": "2024-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MS",
            "license": "PT3878",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI",
            "identifier": "1033218524",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "09015077",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pascagoula, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.