Active NPI
Horrell H Townsend III, D.O.
- Physical Medicine & Rehabilitation Physician
- Gulfport, MS
National Provider Identifier
1730304585
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- 11143
- Practice address
- 11010 David St
Suite B
Gulfport, MS 39503-3481 - Phone
- (228) 832-7799
- NPI assigned
- Apr 16, 2007
- 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 |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | 11143 | MS | Primary |
Addresses
Primary practice location
11010 David St
Suite B
Gulfport, MS 39503-3481
Mailing address
PO Box 3599
Gulfport, MS 39505-3599
Phone (228) 832-7799
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Osteopathy
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176681600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1411344000000",
"number": "1730304585",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3599",
"city": "GULFPORT",
"state": "MS",
"postal_code": "395053599",
"telephone_number": "228-832-7799",
"fax_number": "228-832-7769"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11010 DAVID ST",
"address_2": "SUITE B",
"city": "GULFPORT",
"state": "MS",
"postal_code": "395033481",
"telephone_number": "228-832-7799"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TOWNSEND",
"first_name": "HORRELL",
"middle_name": "H",
"name_prefix": "Dr.",
"name_suffix": "III",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-04-16",
"last_updated": "2014-09-22",
"status": "A"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "MS",
"license": "11143",
"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 Sep 22, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.