Gulf Coast Brain & Spine Institute

Primary specialty

Neurological Surgery PhysicianTaxonomy code 207T00000X

License

18374 Issued in MS

Legal business name

GULF COAST BRAIN & SPINE INSTITUTE

Practice address

1340 Broad Avenue
Gulfport, MS 39501

Phone

(228) 867-4856

Fax

(228) 867-4857

NPI assigned

Oct 6, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. James R Doty, MD

Title

Neurosurgeon

Phone

(228) 867-4856

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1160092800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1770670333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1340 BROAD AVENUE",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "39501",
            "telephone_number": "228-867-4856",
            "fax_number": "228-867-4857"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1340 BROAD AVENUE",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "39501",
            "telephone_number": "228-867-4856",
            "fax_number": "228-867-4857"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GULF COAST BRAIN & SPINE INSTITUTE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DOTY",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "NEUROSURGEON",
        "authorized_official_telephone_number": "228-867-4856",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "MS",
            "license": "18374",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "08253741",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Walter L Guillot, DMD
• Amanda Hammon Guillotte, AU.D.
• Charlotte Brandy Guillotte
• Gulf Anesthesia Services LLC
• Gulf Coast Anesthesia Services PC
• Gulf Coast Companion Care, LLC (Comfort Keepers)
• Gulf Coast Dental Care, PLLC
• Gulf Coast Dental Center
• Gulf Coast Dermatology, PA
• Gulf Coast Ear Nose and Throat Associates, LLC

• Neurological Surgery Physician in Gulfport, MS
• Providers in Gulfport, MS by specialty
• Neurological Surgery Physician in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.