Active NPI
Brian H Foresman, D.O.
- Pulmonary Disease Physician
- Gulfport, MS
National Provider Identifier
1760436000
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- 02001628
- Practice address
- 820 2ND St
Gulfport, MS 39501-2206 - Phone
- (317) 370-9021
- NPI assigned
- May 20, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sleep Medicine (Internal Medicine) Physician | 207RS0012X | 02001628A | IN | |
| Pulmonary Disease Physician | 207RP1001X | 02001628 | IN | Primary |
Addresses
Primary practice location
820 2ND St
Gulfport, MS 39501-2206
Mailing address
820 2ND St
Gulfport, MS 39501-2206
Phone (317) 370-9021
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200039590 | Medicaid | IN |
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
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 02001628 | IN | MD | Pulmonary Disease Physician |
| 02001628A | IN | MD | Sleep Medicine (Internal Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University Medical Diagnostic Associates, Inc. | Pulmonary Disease | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Internal Medicine Physician
- Indianapolis, IN
- NPI 1861441537
Pulmonary Disease
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148083200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1745625600000",
"number": "1760436000",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "820 2ND ST",
"city": "GULFPORT",
"state": "MS",
"postal_code": "395012206",
"telephone_number": "317-370-9021"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "820 2ND ST",
"city": "GULFPORT",
"state": "MS",
"postal_code": "395012206",
"telephone_number": "317-370-9021"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FORESMAN",
"first_name": "BRIAN",
"middle_name": "H",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-20",
"last_updated": "2025-04-26",
"certification_date": "2025-04-26",
"status": "A"
},
"taxonomies": [
{
"code": "207RS0012X",
"taxonomy_group": "",
"desc": "Internal Medicine, Sleep Medicine",
"state": "IN",
"license": "02001628A",
"primary": false
},
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "IN",
"license": "02001628",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200039590",
"state": "IN"
}
],
"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 Apr 26, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.