Brandon Montgomery, MD

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

24400 Issued in MS

Practice address

4566 S Eason Blvd
Tupelo, MS 38801-6540

Phone

(662) 377-4851

NPI assigned

Apr 14, 2009

Last updated

Aug 22, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Enrolled in TN, MS2 enrollments

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.

Enrollment records 2

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: brandonmontgomery@nmhs.medalliesdirect.net
• FHIR API: https://api.platform.athenahealth.com/13706/brand/1/csg/1/fhir/r4

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.

• Obhg Mississippi, P.C.

  • Obstetrics & Gynecology Physician
  • Jackson, MS
  • NPI 1083995674
  Medicare reassignment NPD
• Obstetrics Gynecology Associates PA

  • Obstetrics & Gynecology Physician
  • Tupelo, MS
  • NPI 1750352894
  Medicare reassignment NPD
• Sanders Clinic for Women PA

  • Obstetrics & Gynecology Physician
  • Tupelo, MS
  • NPI 1962423046
  Medicare reassignment NPD
• Sumner Physician Practices LLC

  dba HighPoint Endocrinology Associates

  • Endocrinology, Diabetes & Metabolism Physician
  • Gallatin, TN
  • NPI 1720572209
  Medicare reassignment NPD
• North Mississippi Medical Center

  • General Acute Care Hospital
  • Tupelo, MS
  • NPI 1376969683
  NPD
• Premier Radiology, Inc

  • Diagnostic Radiology Physician
  • Tupelo, MS
  • NPI 1083669121
  NPD
• Sumner Physician Practices LLC

  dba Sumner Women's Associates

  • Obstetrics & Gynecology Physician
  • Gallatin, TN
  • NPI 1083953848
  NPD
• Sumner Physician Practices, LLC

  dba Highpoint Cardiology with Ascension Saint Thomas Heart

  • Interventional Cardiology Physician
  • Gallatin, TN
  • NPI 1417782194
  NPD
• North Mississippi Medical Center, Inc.

  dba North Mississippi Medical Center

  • General Acute Care Hospital
  • Tupelo, MS
  • NPI 1598875460
  NPD (past)
• Pathgroup Labs, LLC

  • Clinical Medical Laboratory
  • Nashville, TN
  • NPI 1235186800
  NPD (past)
• Sumner Physician Practices LLC

  dba HighPoint Vascular & Vein Associates

  • Vascular Surgery Physician
  • Gallatin, TN
  • NPI 1871002055
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1239667200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692662400000",
    "number": "1407099971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4566 S EASON BLVD",
            "city": "TUPELO",
            "state": "MS",
            "postal_code": "388016540",
            "telephone_number": "662-377-4851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4566 S EASON BLVD",
            "city": "TUPELO",
            "state": "MS",
            "postal_code": "388016540",
            "telephone_number": "662-377-4851"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONTGOMERY",
        "first_name": "BRANDON",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-04-14",
        "last_updated": "2023-08-22",
        "certification_date": "2023-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "TN",
            "license": "50320",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "LA",
            "license": "MD.204972",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MS",
            "license": "24400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hollie Dulaney Moffatt, PMHNP-BC
• Rayyan Mohammed, DO
• Molecular and Diagnostic Testing Labs of America
• David Monaghan, M.D.
• Michael Monroe, D.M.D.
• Erica Michele Montgomery, MED
• Jac'Ques Javaughn Montgomery, BCBA
• Janet Woods Montgomery, LMSW
• Kevin Montgomery
• Lacrista Montgomery, SPECIALUST

• Obstetrics & Gynecology Physician in Tupelo, MS
• Providers in Tupelo, MS by specialty
• Obstetrics & Gynecology Physician in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2023; 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.

Verify at the official NPI Registry.