Individual provider Active NPI

Franklin David Southern-Bruno, LMSW

  • Clinical Social Worker
  • Poplarville, MS
National Provider Identifier
1235706961
Registry record updated Dec 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C11835 Issued in MS
Practice address
110 W Erlanger St
Poplarville, MS 39470-3009
Phone
(601) 746-5145
Fax
(844) 348-9002
NPI assigned
Jun 10, 2021
Last updated
Dec 12, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X C11835 MS Primary

Addresses

Primary practice location

110 W Erlanger St
Poplarville, MS 39470-3009

Mailing address

110 W Erlanger St
Poplarville, MS 39470-3009
Phone (601) 746-5145

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: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251229002502 MS Practitioner - Clinical Social Worker 3577059641 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2020
Medicare assignment
May accept Medicare assignment
Group practices
Bruno Counseling and Consulting Services, LLCGroup PAC ID 0749500767, 2 clinicians

Practice addresses (Care Compare)

110 W Erlanger St
Poplarville, MS 39470-3009
Phone (601) 746-5125

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
C11835MSMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Bruno Counseling and Consulting Services, LLC Clinical CurrentSince Dec 17, 2025 Accepting new patients

Locations

110 W Erlanger St
Poplarville, MS 39470
Phone (601) 746-5125

Organizations & group practices 1

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": "1623283200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765497600000",
    "number": "1235706961",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 W ERLANGER ST",
            "city": "POPLARVILLE",
            "state": "MS",
            "postal_code": "394703009",
            "telephone_number": "601-746-5145",
            "fax_number": "844-348-9002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 W ERLANGER ST",
            "city": "POPLARVILLE",
            "state": "MS",
            "postal_code": "394703009",
            "telephone_number": "601-746-5145",
            "fax_number": "844-348-9002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOUTHERN-BRUNO",
        "first_name": "FRANKLIN",
        "middle_name": "DAVID",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-06-10",
        "last_updated": "2025-12-12",
        "certification_date": "2025-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MS",
            "license": "C11835",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Poplarville, MS

Sources for this page

Verify at the official NPI Registry.