Active NPI
Brandon Jasmin
- Family Medicine Physician
- Gulfport, MS
National Provider Identifier
1669266250
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- NA
- Practice address
- 4500 13TH St
Gulfport, MS 39501-2515 - Phone
- (228) 867-4968
- NPI assigned
- Apr 8, 2025
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | NA | MS | Primary |
Addresses
Primary practice location
4500 13TH St
Gulfport, MS 39501-2515
Mailing address
1495 Panther Preserve Pkwy
Jacksonville, FL 32221-1081
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MS
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250822000540 | MS | Order and Referring Only - Family Practice | 9537669726 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Interoperability endpoints
- brandon.jasmin.1@15501.direct.athenahealth.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1744070400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1754524800000",
"number": "1669266250",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1495 PANTHER PRESERVE PKWY",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322211081"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4500 13TH ST",
"city": "GULFPORT",
"state": "MS",
"postal_code": "395012515",
"telephone_number": "228-867-4968"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JASMIN",
"first_name": "BRANDON",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-04-08",
"last_updated": "2025-08-07",
"certification_date": "2025-08-07",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MS",
"license": "NA",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Gulfport, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2025; 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.