Bert Sinclair Haydel, R.P.T

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT0012 Issued in MS

Practice address

300 Rawls Dr
Ste 700a
McComb, MS 39648-2872

Phone

(601) 684-0355

Fax

(601) 250-0476

NPI assigned

May 26, 2005

Last updated

Mar 15, 2013By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Bert S. Haydel

  • Physical Therapist
  • McComb, MS
  • NPI 1265563423
  NPD (past) Authorized official

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

{
    "created_epoch": "1117065600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1363305600000",
    "number": "1548263288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 RAWLS DR",
            "address_2": "STE 700A",
            "city": "MCCOMB",
            "state": "MS",
            "postal_code": "396482872",
            "telephone_number": "601-684-0355",
            "fax_number": "601-250-0476"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 RAWLS DR",
            "address_2": "STE 700A",
            "city": "MCCOMB",
            "state": "MS",
            "postal_code": "396482872",
            "telephone_number": "601-684-0355",
            "fax_number": "601-250-0476"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAYDEL",
        "first_name": "BERT",
        "middle_name": "SINCLAIR",
        "name_prefix": "Mr.",
        "credential": "R.P.T",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-05-26",
        "last_updated": "2013-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MS",
            "license": "PT0012",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "5171268",
            "state": "MS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALMETTO RAILROAD",
            "identifier": "650024398",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• John Harvey, FNP-C
• Heather Hatcher
• Jeanette Hauer, MS
• Adriana Hawkins-Smith
• Timothy J Hay
• Healthcare at Home
• Misti Hedgepeth, NP-C
• Susan G Hedges, LCSW
• Fedele Helne
• Teresa Helton

• Physical Therapist in McComb, MS
• Providers in McComb, MS by specialty
• Physical Therapist in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.