Bryan A. Gaspard, MD
Individual provider Active NPI Neurological Surgery Physician · Jackson, MS
NPI 1598043143 · NPPES record last updated Jul 12, 2024
Key facts
- NPI
- 1598043143
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Neurological Surgery Physician 207T00000X
- License
- 21587 (MS)
- Practice address
- 971 Lakeland Dr Ste 1250
Jackson, MS 39216-4609 - Phone
- (601) 200-5955
- Fax
- (601) 200-5939
- NPI assigned
- Aug 1, 2011
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 4
Hospital & facility affiliations 4
Medicare Care Compare profile
- Specialty
- Neurosurgery
- Education
- Louisiana State University School of Medicine in Shreveport, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- St. Dominic Medical Associates LLC
Practice addresses (Care Compare)
106 Highland Way
Madison, MS 39110-6933
969 Lakeland Dr
Jackson, MS 39216-4606
Phone (601) 200-3100
Hospital & facility affiliations
- Enhabit Home Health
- Arden Home Health of West Ms, LLC
- Sta Home Health Agency of Jackson, Inc. Dba Accentcare Home Health of Jackson
- St Dominic-Jackson Memorial Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 89.09 of 100
- Quality
- 73.43
- Promoting interoperability
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Spinal fusion | 42 |
| Laminectomy or laminotomy (partial removal of spine bones) | 44 |
| Removal of tissue | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MS
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110920000204 | MS | Practitioner - Neurosurgery | 4789855966 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 21587 | MS | MD | Neurological Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St Dominic Medical Associates LLC | Current |
Accepting new patients | |
| St. Dominic Medical Associates LLC | Neurological Surgery | Current |
Accepting new patients |
| North Alabama Neurological P. a. | Neurological Surgery | Past | Accepting new patients |
| St Dominic-Jackson Memorial Hospital | Past | Accepting new patients |
Locations
5959 S Sherwood Forest Blvd
Baton Rouge, LA 70816
Phone (225) 526-0011
971 Lakeland Dr
Ste 1250
Jackson, MS 39216
Phone (601) 200-5955
106 Highland Way
Ste 202
Madison, MS 39110
Phone (601) 200-3376
Interoperability endpoints
- bgaspard2548645@direct.casso.us.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurological Surgery Physician | 207T00000X | 31518 | AL | |
| Neurological Surgery Physician | 207T00000X | 21587 | MS | Yes |
Addresses
Primary practice location
971 Lakeland Dr Ste 1250
Jackson, MS 39216-4609
Mailing address
5959 S Sherwood Forest Blvd
Baton Rouge, LA 70816-6038
Phone (601) 200-5955
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2189662 | Medicaid | LA | |
| 04383309 | Medicaid | MS |
Other providers in Jackson, MS
- Gregory Allen Garvin
- Michael Ryan Gary
- Andrew William Garza
- Isabelle Rose Garza
- Sandy Thao Trieu Gaskill
- Katharine Grace Gaspard
- Gastrointestinal Endoscopy Center
- Robert Scott Gatewood
- Ronald Tyler Gatewood
- Joseph Luke Gatlin
All providers in Jackson, MS · Neurological Surgery Physician in Mississippi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 12, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.