Individual provider Active NPI

Jeremy Brooks Becton, MD

  • Neurology Physician
  • Hattiesburg, MS
National Provider Identifier
1386264448
Registry record updated Aug 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
37857 Issued in MS
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, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

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

Sources for this page

Verify at the official NPI Registry.