Bryan Tipton Sullivan, DPM - Medicare Podiatrist in Jackson, MS

Bryan Tipton Sullivan, DPM is a medicare enrolled "Podiatrist" provider in Jackson, Mississippi. He went to California School Of Podiatric Medicine and graduated in 1986 and has 38 years of diverse experience with area of expertise as Podiatry. His current practice location is 1915 Dunbarton Drive, Jackson, Mississippi. You can reach out to his office (for appointments etc.) via phone at (601) 982-3338.

Bryan Tipton Sullivan is licensed to practice in Mississippi (license number 80089) and he also participates in the medicare program. He may accept medicare assignments (which means he may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and his NPI Number is 1164592044.

Contact Information

Bryan Tipton Sullivan, DPM
1915 Dunbarton Drive,
Jackson, MS 39216
(601) 982-3338
(601) 982-2253



Healthcare Provider's Profile

Full NameBryan Tipton Sullivan
GenderMale
SpecialityPodiatry
Experience38 Years
Location1915 Dunbarton Drive, Jackson, Mississippi
Accepts Medicare AssignmentsMay be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Bryan Tipton Sullivan attended and graduated from California School Of Podiatric Medicine in 1986
  NPI Data:
  • NPI Number: 1164592044
  • Provider Enumeration Date: 11/08/2006
  • Last Update Date: 06/05/2008
  Medicare PECOS Information:
  • PECOS PAC ID: 1658446885
  • Enrollment ID: I20080821000621

Medical Identifiers

Medical identifiers for Bryan Tipton Sullivan such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1164592044NPI-NPPES
00012910MedicaidMS
480007636OtherRAILROAD MEDICARE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
213E00000XPodiatrist 80089 (Mississippi)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Mississippi Baptist Medical CenterJackson, MSHospital

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Bryan Tipton Sullivan is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Bryan Tipton Sullivan, DPM
1915 Dunbarton Drive,
Jackson, MS 39216

Ph: (601) 982-3338
Bryan Tipton Sullivan, DPM
1915 Dunbarton Drive,
Jackson, MS 39216

Ph: (601) 982-3338

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Podiatrist in Jackson, MS

Dr. Lowery H Huff, DPM
Podiatrist
Medicare: Not Enrolled in Medicare
Practice Location: 500 0 Woodrow Wilson Ave, Jackson, MS 39216
Phone: 601-366-2661    Fax: 601-982-1740
Podiatry Associates Of Central Mississippi
Podiatrist
Medicare: Not Enrolled in Medicare
Practice Location: 1860 Chadwick Dr, Suite 106, Jackson, MS 39204
Phone: 601-376-2963    Fax: 601-376-2967
Mississippi Foot Clinic, Inc
Podiatrist
Medicare: Not Enrolled in Medicare
Practice Location: 128 Poindexter St, Jackson, MS 39203
Phone: 601-355-0026    Fax: 601-355-0069
Bryan T Sullivan
Podiatrist
Medicare: Not Enrolled in Medicare
Practice Location: 1915 Dunbarton Drive, Jackson, MS 39216
Phone: 601-982-3338    Fax: 601-982-2253
Elizabeth G Tice Dpm Pllc
Podiatrist
Medicare: Not Enrolled in Medicare
Practice Location: 1860 Chadwick Drive, Suite 106, Jackson, MS 39204
Phone: 601-376-2963    Fax: 601-376-2967
Dr. Robert Kelvin Woodruff, D.P.M., P.A.
Podiatrist
Medicare: Accepting Medicare Assignments
Practice Location: 3855 Azalea Drive, Jackson, MS 39206
Phone: 601-366-7063    Fax: 601-366-7860

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