Active NPI
Bernard Gayle Harrell, D.O.
- Family Medicine Physician
- Forest, MS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 10830
- Practice address
- 1080 Highway 35 S
Forest, MS 39074-9423 - Phone
- (601) 469-3555
- Fax
- (601) 469-3584
- NPI assigned
- Nov 16, 2005
- Last updated
- Jul 13, 2026
- 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 | 10830 | MS | Primary |
Addresses
Primary practice location
1080 Highway 35 S
Forest, MS 39074-9423
Mailing address
PO Box 5183
Meridian, MS 39302-5183
Phone (601) 703-9506
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00013342 | Medicaid | MS | |
| 010013307 | Other | RAILROAD MEDICARE |
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
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 1984
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
505 Airport Rd
Suite D
Forest, MS 39074-4033
Phone (601) 333-0947
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Independent Healthcare Management, Inc. | Current | Accepting new patients | |
| Independent Healthcare Management, Inc. | Current | Accepting new patients | |
| Independent Healthcare Management, Inc. | Current | Accepting new patients | |
| Independent Healthcare Management, Inc. | Past | Accepting new patients |
Locations
330 N Broad St
Forest, MS 39074
Phone (601) 469-4151
330 N Broad St
#S
Forest, MS 39074
Phone (601) 469-4151
505 Airport Rd
Ste F
Forest, MS 39074
Phone (601) 333-0947
526 Deerfield Dr
Unit C
Forest, MS 39074
Phone (601) 469-0291
Interoperability endpoints
- bernard.harrell@phspch.eclinicaldirectplus.com
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba S E Lackey Memorial Hospital
- Critical Access Hospital
- Forest, MS
- NPI 1306909734
-
dba Main Street Medical Clinic of Sebastopol
- Rural Health Clinic/Center
- Sebastopol, MS
- NPI 1760778609
-
dba 35 South Family Medical
- Rural Health Clinic/Center
- Raleigh, MS
- NPI 1871272724
-
dba SE Lackey Memorial Hospital
- Clinic/Center
- Forest, MS
- NPI 1245905405
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba CenterWell Home Health
- Home Health Agency
- Flowood, MS
- NPI 1417935578
-
dba S E Lackey Memorial Hospital
- Critical Access Hospital
- Forest, MS
- NPI 1306909734
-
dba AccentCare Home Health of Carthage
- Home Health Agency
- Carthage, MS
- NPI 1275674533
-
dba AccentCare Hospice & Palliative Care of Mississippi
- Community Based Hospice Care Agency
- Flowood, MS
- NPI 1144491077
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1132099200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1871575852",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 5183",
"city": "MERIDIAN",
"state": "MS",
"postal_code": "393025183",
"telephone_number": "601-703-9506",
"fax_number": "601-703-3264"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1080 HIGHWAY 35 S",
"city": "FOREST",
"state": "MS",
"postal_code": "390749423",
"telephone_number": "601-469-3555",
"fax_number": "601-469-3584"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARRELL",
"first_name": "BERNARD",
"middle_name": "GAYLE",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-16",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MS",
"license": "10830",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00013342",
"state": "MS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "010013307",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Forest, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.