MEDICARE: JACK W BRAND JR. MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RC0000X	Cardiovascular Disease Physician	11555	AL
2	207RC0000X	Cardiovascular Disease Physician	10246	MS

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	C02478	OTHER		GROUP MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	1194874222	OTHER	MS	GROUP NPI
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1689678674
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JACK W BRAND JR. MD

Provider Business Mailing Address
First Line	:	1720A MEDICAL PARK DR
Second Line	:	SUITE 340
City	:	BILOXI
State	:	MS
Zip	:	39532-2129
Country	:	US
Telephone Number	:	228-392-7429
Fax Number	:	228-396-3830

Provider Business Practice Location Address
First Line	:	1720A MEDICAL PARK DR
Second Line	:	SUITE 340
City	:	BILOXI
State	:	MS
Zip	:	39532-2129
Country	:	US
Telephone Number	:	228-392-7429
Fax Number	:	228-396-3830

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/08/2005
Last Update Date	:	07/19/2012

Similar Medicare Providers

1265420467 — DR. ROBERT L BRUNSTON JR. M.D.
Practice Location Address:

1720A MEDICAL PARK DR , SUITE 180
BILOXI, MS
39532-2129

Practice Phone: 228-396-1735
Practice Fax: 228-396-1737

1417946013 — DR. HENRY THEODORE LEIS M.D.
Practice Location Address:

1720A MEDICAL PARK DR , SUITE 220
BILOXI, MS
39532-2129

Practice Phone: 228-392-9355
Practice Fax: 228-392-1781

1033168091 — EVA MAGIROS M.D.
Practice Location Address:

1720A MEDICAL PARK DR , SUITE 340
BILOXI, MS
39532-2129

Practice Phone: 228-392-7429
Practice Fax: 228-396-3830

1568411403 — ANTOINE RIZK M.D.
Practice Location Address:

1720A MEDICAL PARK DR , SUITE 340
BILOXI, MS
39532-2129

Practice Phone: 228-392-7429
Practice Fax: 228-396-3830

1114977451 — PAUL E MULLEN M.D.
Practice Location Address:

1720A MEDICAL PARK DR , SUITE 340
BILOXI, MS
39532-2129

Practice Phone: 228-392-7429
Practice Fax: 228-396-3830

1558395806 — KIMBERLY R BENIGNO O.D.
Practice Location Address:

1720A MEDICAL PARK DR , SUITE 330
BILOXI, MS
39532-2129

Practice Phone: 228-396-5185
Practice Fax: 228-396-5186

Directions to “ JACK W BRAND JR. MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.