Active NPI
Brandon S Cloud, PT
- Physical Therapist
- Pascagoula, MS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT3878
- 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, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033218524 | Other | MS | GROUP NPI |
| 09015077 | Medicaid | MS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MS
Enrollment records 1
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
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 100
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bienville Therapy, LLC | Physical Therapist | Current | Accepting new patients |
| Bienville Orthopaedic Specialists, LLC | Current | Accepting new patients | |
| Bienville Orthopaedic Specialists, LLC | Current | Accepting new patients | |
| Bienville Therapy, LLC | Physical Therapist | Current | 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.
-
- Physical Therapist
- Vancleave, MS
- NPI 1720844392
-
- Orthopaedic Surgery Physician
- Vancleave, MS
- NPI 1689605834
-
- Physical Therapist
- Gulfport, MS
- NPI 1477319051
-
- Physical Therapist
- Biloxi, MS
- NPI 1700642394
-
- Orthopaedic Surgery Physician
- Grand Bay, AL
- NPI 1659269454
-
dba Encore Rehab of Biloxi
- Physical Therapy Clinic/Center
- Biloxi, MS
- NPI 1720221195
Physical Therapist
-
- Physical Therapy Clinic/Center
- Decatur, AL
- NPI 1033218524
Physical Therapist
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.