Active NPI
Forrest Brandon Witt, MD
- Anesthesiology Physician
- Keesler Afb, MS
National Provider Identifier
1366027260
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 38321
- Practice address
- 301 Fisher St
Keesler Afb, MS 39534-2508 - Phone
- (405) 612-1997
- NPI assigned
- Mar 11, 2021
- 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 |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 38321 | OK | Primary |
Addresses
Primary practice location
301 Fisher St
Keesler Afb, MS 39534-2508
Mailing address
1850 Popps Ferry Rd Apt N1420
Biloxi, MS 39532-0011
Phone (405) 612-1997
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: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260324002586 | MS | Practitioner - Anesthesiology | 3072097450 | Reassigns benefits to 3 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- University of Oklahoma College of Medicine, 2021
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
14050 Dedeaux Rd
Gulfport, MS 39503-4502
1850 Popps Ferry Rd
Apt N1420
Biloxi, MS 39532-0006
1850 Popps Ferry Rd Apt
N1420
Biloxi, MS 39532-0011
7956 Vaughn Rd
Suite 165
Montgomery, AL 36116-6817
PO Box
Suite 1810
Gulfport, MS 39502
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 38321 | OK | MD | Anesthesiology Physician |
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1615420800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1752537600000",
"number": "1366027260",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1850 POPPS FERRY RD APT N1420",
"city": "BILOXI",
"state": "MS",
"postal_code": "395320011",
"telephone_number": "405-612-1997"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "301 FISHER ST",
"city": "KEESLER AFB",
"state": "MS",
"postal_code": "395342508",
"telephone_number": "405-612-1997"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WITT",
"first_name": "FORREST",
"middle_name": "BRANDON",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-03-11",
"last_updated": "2025-07-15",
"certification_date": "2025-07-15",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "OK",
"license": "38321",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Keesler Afb, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.