Active NPI
Coastal Wound Specialists LLC
- Undersea and Hyperbaric Medicine (Emergency Medicine) Physician
- Gulfport, MS
National Provider Identifier
1336014612
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Undersea and Hyperbaric Medicine (Emergency Medicine) Physician
- Legal business name
- COASTAL WOUND SPECIALISTS LLC
- Practice address
- 4500 13TH St
Gulfport, MS 39501-2515 - Phone
- (228) 865-1330
- Fax
- (228) 865-1331
- NPI assigned
- Oct 7, 2025
- Last updated
- Oct 7, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Brett Kathmann, MD
- Title
- Owner
- Phone
- (228) 865-1330
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Undersea and Hyperbaric Medicine (Emergency Medicine) Physician | 207PE0005X | NU | Primary |
Addresses
Primary practice location
4500 13TH St
Gulfport, MS 39501-2515
Mailing address
PO Box 6266
Gulfport, MS 39506-6266
Phone (228) 865-1330
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MS
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 6
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Undersea and Hyperbaric Medicine (Emergency Medicine) Physician
- Gulfport, MS
- NPI 1851666150
-
- Emergency Medicine Physician
- Jackson, MS
- NPI 1194920389
-
- Family Nurse Practitioner
- West Point, MS
- NPI 1407594443
-
- Nurse Practitioner
- Memphis, TN
- NPI 1326544800
-
- Nurse Practitioner
- Memphis, TN
- NPI 1427228816
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1759795200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1759795200000",
"number": "1336014612",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 6266",
"city": "GULFPORT",
"state": "MS",
"postal_code": "395066266",
"telephone_number": "228-865-1330",
"fax_number": "228-865-1331"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4500 13TH ST",
"city": "GULFPORT",
"state": "MS",
"postal_code": "395012515",
"telephone_number": "228-865-1330",
"fax_number": "228-865-1331"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COASTAL WOUND SPECIALISTS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-10-07",
"last_updated": "2025-10-07",
"certification_date": "2025-10-07",
"status": "A",
"authorized_official_last_name": "KATHMANN",
"authorized_official_first_name": "BRETT",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "228-865-1330",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207PE0005X",
"taxonomy_group": "",
"desc": "Emergency Medicine, Undersea and Hyperbaric Medicine",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Gulfport, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.