Active NPI
Jeremy Brooks Becton, MD
- Neurology Physician
- Hattiesburg, MS
National Provider Identifier
1386264448
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- 37857
- Practice address
- 1 Lincoln Pkwy Ste 303
Hattiesburg, MS 39402-3261 - Phone
- (601) 268-5620
- Fax
- (601) 268-5851
- NPI assigned
- Apr 19, 2020
- Last updated
- Aug 26, 2026
- 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 |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | 37857 | MS | Primary |
Addresses
Primary practice location
1 Lincoln Pkwy Ste 303
Hattiesburg, MS 39402-3261
Mailing address
2800 SW 27TH Ter Apt 401
Miami, FL 33133-3069
Phone (601) 520-4804
Other practice location 1
1215 Lee St
Mail Stop '800501'
Charlottesville, VA 22908-0816
Phone (434) 924-5321
Other practice location 2
3100 SW 62nd Ave
Miami, FL 33155-3009
Phone (800) 432-6837
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1587254400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787702400000",
"number": "1386264448",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2800 SW 27TH TER APT 401",
"city": "MIAMI",
"state": "FL",
"postal_code": "331333069",
"telephone_number": "601-520-4804"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 LINCOLN PKWY STE 303",
"city": "HATTIESBURG",
"state": "MS",
"postal_code": "394023261",
"telephone_number": "601-268-5620",
"fax_number": "601-268-5851"
}
],
"practiceLocations": [
{
"address_1": "1215 Lee St",
"address_2": "Mail Stop '800501'",
"address_purpose": "LOCATION",
"city": "Charlottesville",
"state": "VA",
"postal_code": "229080816",
"country_code": "US",
"telephone_number": "434-924-5321",
"fax_number": "434-982-3816",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3100 SW 62nd Ave",
"address_purpose": "LOCATION",
"city": "Miami",
"state": "FL",
"postal_code": "331553009",
"country_code": "US",
"telephone_number": "800-432-6837",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BECTON",
"first_name": "JEREMY",
"middle_name": "BROOKS",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-04-19",
"last_updated": "2026-08-26",
"certification_date": "2026-08-26",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "MS",
"license": "37857",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hattiesburg, MS
- Stephanie Anne Beasey, LM, CLT, MLDC
- Annie Beaugh, DPT
- Jennifer Beckham, PHARMD
- Lauren Brewer Beckman, AGPCNP
- Becoming Undone Therapy Services LLC
- Bedford Alzheimers Care Center, LLC
- Bedford Care Center of Hattiesburg, LLC
- Bedford Care Center-Monroe Hall, LLC
- Steffany Bedwell, NP
- Behavioral Healthcare Center LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2026; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.