Individual provider Active NPI

Robert B Brahan, MD

  • Internal Medicine Physician
  • Hattiesburg, MS
National Provider Identifier
1881608586
Registry record updated Sep 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
06981 Issued in MS
Practice address
4 Medical Blvd
Hattiesburg, MS 39401-7230
Phone
(601) 579-5444
Fax
(601) 579-5107
NPI assigned
Jul 28, 2006
Last updated
Sep 1, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 06981 MS Primary

Addresses

Primary practice location

4 Medical Blvd
Hattiesburg, MS 39401-7230

Mailing address

415 S 28TH Ave
Hattiesburg, MS 39401-7246
Phone (601) 579-5444

Other practice location 1

421 S 28th Ave Ste 110
Hattiesburg, MS 39401-7208
Phone (601) 579-5444

Other identifiers 4

IdentifierTypeStateIssuer
110005274OtherRAILROAD MEDICARE
1419915MedicaidLA
00017068MedicaidMS
1558921OtherMSAMERICAN ADMIN GROUP

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address dbrahan2557@directpatientrecord.com Health Information Exchange (HIE)

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20061229000217 MS Practitioner - Internal MedicinePractitioner - Cardiovascular Disease (Cardiology) 7416957212 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Mississippi School of Medicine, 1974
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Hattiesburg Clinic PAGroup PAC ID 5193706794, 525 clinicians
Forrest County General HospitalGroup PAC ID 1052397767, 107 clinicians

Practice addresses (Care Compare)

10 Medical Blvd
Hattiesburg, MS 39401-7230
Phone (601) 264-6000

101 Weems St
The Family Clinic of Purvis
Purvis, MS 39475-4062
Phone (601) 794-2224

102 Shelby Speights Dr
Purvis, MS 39475-4151
Phone (601) 794-8065

1101 B S 28TH Ave
Dept of Podiatry
Hattiesburg, MS 39402-2610
Phone (601) 579-5117

1238 Hwy 42
Sumrall, MS 39482-9519
Phone (601) 758-3100

1240 Hwy 42
Sumrall, MS 39482-9519
Phone (601) 264-6000

215 Bobby Beasley St
Seminary, MS 39479-5501
Phone (601) 722-4300

2313 Highway15
Immediate Care Laurel
Laurel, MS 39440-1805
Phone (601) 649-2775

2313 Hwy 15 N
Laurel Family Medicine
Laurel, MS 39440-1805
Phone (601) 264-6000

301 S 28TH Ave
Hattiesburg, MS 39401-7233
Phone (601) 264-6000

4 Medical Blvd
Hattiesburg, MS 39401-7230
Phone (601) 264-6000

415 S 28TH Ave
Hattiesburg, MS 39401-7246

415 S 28TH Ave 3Rd Floor
Ambulatory Cardiovascular Center of Mississ
Hattiesburg, MS 39401-7246
Phone (601) 268-1734

415 S 28TH Ave FL
Hattiesburg, MS 39401-7246
Phone (601) 264-6000

4209 Lincoln Rd
Hattiesburg, MS 39402-3065
Phone (601) 264-6000

421 S 28TH Ave
Hattiesburg, MS 39401-7208
Phone (601) 264-6000

502 Broad St
Columbia, MS 39429-3037
Phone (601) 736-8282

5192 Old Hwy 11
Suite 2
Hattiesburg, MS 39402-6222
Phone (601) 264-6000

6941 Hwy 11
Suite a
Carriere, MS 39426-7794
Phone (601) 264-6000

704 S 5TH St
Collins Family Practice Clinic
Collins, MS 39428-4147
Phone (601) 765-4414

822 Main St
Ellisville, MS 39437-2425
Phone (601) 264-6000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
06981MSMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Forest General Dba Highland Community Hospital CurrentSince Sep 1, 2018 Accepting new patients
Forrest County General Hospital CurrentSince Mar 15, 1989 Accepting new patients
Hattiesburg Clinic PA CurrentSince Mar 7, 1983 Accepting new patients
Hattiesburg Clinic, PA CurrentSince Mar 7, 1983 Accepting new patients
Forrest County General Hospital PastSince Mar 15, 1989 Accepting new patients
Forrest County General Hospital PastSince Mar 15, 1989 Accepting new patients
Forrest County General Hospital PastSince Mar 15, 1989 Accepting new patients
Forrest County General Hospital Internal Medicine PastSince Mar 15, 1989 Accepting new patients
QHG of Hattiesburg Inc Past Accepting new patients
Forrest County General Hospital PastSince Mar 15, 1989 Accepting new patients
Forrest County General Hospital PastSince Mar 15, 1989 Accepting new patients
Forrest County General Hospital PastSince Mar 15, 1989 Accepting new patients
Pine Belt Anesthesia, LLC Past Accepting new patients
Hattiesburg Clinic PA Internal Medicine PastSince Jul 12, 2020 Accepting new patients
Pacific Physician Services LLC Past Accepting new patients

Locations

4 Medical Blvd
Hattiesburg, MS 39401
Phone (601) 579-5444

415 S 28th Ave
Hattiesburg, MS 39401
Phone (601) 261-3606

415 S 28th Ave
Fl 1
Hattiesburg, MS 39401
Phone (601) 288-5200

5001 Hardy St
Hattiesburg, MS 39402
Phone (601) 268-8000

6051 U S Highway 49
Hattiesburg, MS 39401
Phone (601) 288-2690

Interoperability endpoints

  • Direct secure messaging: dbrahan2557@directpatientrecord.com

Organizations & group practices 16

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.

View all 16

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1154044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788220800000",
    "number": "1881608586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 S 28TH AVE",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "394017246",
            "telephone_number": "601-579-5444",
            "fax_number": "601-579-5240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 MEDICAL BLVD",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "394017230",
            "telephone_number": "601-579-5444",
            "fax_number": "601-579-5107"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "421 S 28th Ave Ste 110",
            "address_purpose": "LOCATION",
            "city": "Hattiesburg",
            "state": "MS",
            "postal_code": "394017208",
            "country_code": "US",
            "telephone_number": "601-579-5444",
            "fax_number": "601-579-3083",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRAHAN",
        "first_name": "ROBERT",
        "middle_name": "B",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-28",
        "last_updated": "2026-09-01",
        "certification_date": "2026-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MS",
            "license": "06981",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "110005274",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1419915",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00017068",
            "state": "MS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICAN ADMIN GROUP",
            "identifier": "1558921",
            "state": "MS"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dbrahan2557@directpatientrecord.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "4 Medical Blvd",
            "city": "Hattiesburg",
            "state": "MS",
            "country_code": "US",
            "postal_code": "394017230",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Hattiesburg, MS

Sources for this page

Verify at the official NPI Registry.