Brian Ross Maskew

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

AT0378 Issued in MS

Practice address

4124 W 4TH St Apt 1606
Hattiesburg, MS 39401-5710

Phone

(601) 264-2114

NPI assigned

Sep 20, 2006

Last updated

Jul 8, 2007By 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1699873893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4124 W 4TH ST APT 1606",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "394015710",
            "telephone_number": "601-264-2114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4124 W 4TH ST APT 1606",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "394015710",
            "telephone_number": "601-264-2114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASKEW",
        "first_name": "BRIAN",
        "middle_name": "ROSS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "MS",
            "license": "AT0378",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Bethune Alternative School
• Katharyn Mary
• Cori Marzoni
• Jennifer Reeder Mascagni, C.F.N.P.
• James Maurice Mask, MS
• Sarah Elise Mason, M.S., CCC-SLP
• Brad H Massey, AACNP, ANP
• Jennifer R Massey, CNNP
• Stephen Massey, M.D.
• Lyric Maston

• Athletic Trainer in Hattiesburg, MS
• Providers in Hattiesburg, MS by specialty
• Athletic Trainer in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.