Active NPI
Brooke E Macdonald, NP
- Family Nurse Practitioner
- Hattiesburg, MS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 908110
- Practice address
- 7100 U S Highway 98 Ste 210
Hattiesburg, MS 39402-8557 - Phone
- (601) 545-7021
- Fax
- (601) 545-6978
- NPI assigned
- Jan 8, 2026
- Sex
- Female
- 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 Nurse Practitioner | 363LF0000X | 908110 | MS | Primary |
Addresses
Primary practice location
7100 U S Highway 98 Ste 210
Hattiesburg, MS 39402-8557
Mailing address
PO Box 649113
Dallas, TX 75264-9113
Phone (601) 545-7021
Other practice location 1
120 Stone Creek Blvd Ste 500
Flowood, MS 39232-8210
Phone (601) 420-2040
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200027069 | Medicaid | MS |
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: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2025
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
7100 U S Hwy 98
Suite 210
Hattiesburg, MS 39402-8557
Phone (601) 545-7021
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 908110 | MS | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Flowood Pain Center, LLC | Current | Accepting new patients |
Locations
120 Stone Creek Blvd
Ste 500
Flowood, MS 39232
Phone (601) 202-2040
7100 U S Highway 98
Ste 210
Hattiesburg, MS 39402
Phone (601) 545-7021
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/EEHEBD
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.
-
- Pain Medicine (Anesthesiology) Physician
- Flowood, MS
- NPI 1356848014
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1767830400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1776729600000",
"number": "1972460152",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 649113",
"city": "DALLAS",
"state": "TX",
"postal_code": "752649113",
"telephone_number": "601-545-7021",
"fax_number": "601-545-6978"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7100 U S HIGHWAY 98 STE 210",
"city": "HATTIESBURG",
"state": "MS",
"postal_code": "394028557",
"telephone_number": "601-545-7021",
"fax_number": "601-545-6978"
}
],
"practiceLocations": [
{
"address_1": "120 Stone Creek Blvd Ste 500",
"address_purpose": "LOCATION",
"city": "Flowood",
"state": "MS",
"postal_code": "392328210",
"country_code": "US",
"telephone_number": "601-420-2040",
"fax_number": "601-420-2356",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MACDONALD",
"first_name": "BROOKE",
"middle_name": "E",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-01-08",
"last_updated": "2026-04-21",
"certification_date": "2026-04-21",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MS",
"license": "908110",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200027069",
"state": "MS"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hattiesburg, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 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.