Individual provider Active NPI

Brooke E Macdonald, NP

  • Family Nurse Practitioner
  • Hattiesburg, MS
National Provider Identifier
1972460152
Registry record updated Apr 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
908110 Issued in MS
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

Updated by the provider on Apr 21, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
200027069MedicaidMS

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260416000070 MS Practitioner - Nurse Practitioner 4880160944 Reassigns benefits to 1 organization

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
Flowood Pain Center, LLCGroup PAC ID 6901154293, 25 clinicians

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

LicenseStateTypeSpecialty
908110MSMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Flowood Pain Center, LLC CurrentSince Jun 29, 2025 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

  • FHIR API: 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.

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

Verify at the official NPI Registry.