MEDICARE: DR. JAMES BERNARD HALL M.D.

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	207R00000X	Internal Medicine Physician	18365	MS
2	208M00000X	Hospitalist Physician	18365	MS
3	207P00000X	Emergency Medicine Physician	18365	MS

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1871518597
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JAMES BERNARD HALL M.D.

Provider Business Mailing Address
First Line	:	747 INDUSTRIAL PARK ROAD NE
Second Line	:
City	:	BROOKHAVEN
State	:	MS
Zip	:	39601-8064
Country	:	US
Telephone Number	:	601-833-4111
Fax Number	:	601-833-1444

Provider Business Practice Location Address
First Line	:	747 INDUSTRIAL PARK RD NE
Second Line	:
City	:	BROOKHAVEN
State	:	MS
Zip	:	39601-2065
Country	:	US
Telephone Number	:	601-833-4111
Fax Number	:	601-833-1444

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

Provider Enumeration Date	:	07/13/2006
Last Update Date	:	09/02/2016

Similar Medicare Providers

1790832244 — THOMAS ALBERT REID D.M.D.
Practice Location Address:

601 BROOKMAN DRIVE , SUITE B
BROOKHAVEN, MS
39601-2065

Practice Phone: 601-833-5454
Practice Fax: 601-833-5628

1447563499 — ANOINTED NEPHROLOGY & HTN PLLC
Practice Location Address:

747 INDUSTRIAL PARK RD NE
BROOKHAVEN, MS
39601-2065

Practice Phone: 601-833-4111
Practice Fax: 601-833-1444

1003392416 — MISS MONTOYAE C LEAVY NP
Practice Location Address:

747 INDUSTRIAL PARK RD NE
BROOKHAVEN, MS
39601-2065

Practice Phone: 601-833-4111
Practice Fax:

1669937611 — BRENILLA VAUGHN FNP
Practice Location Address:

747 INDUSTRIAL PARK RD NE
BROOKHAVEN, MS
39601-2065

Practice Phone: 601-833-4111
Practice Fax:

1356936033 — ASHTON M DUET FNP-BC
Practice Location Address:

747 INDUSTRIAL PARK RD NE
BROOKHAVEN, MS
39601-2065

Practice Phone: 601-833-4111
Practice Fax:

1477259307 — DAWN VANIS
Practice Location Address:

3650 ASHFORD DUNWOODY RD NE UNIT 1023
BROOKHAVEN, GA
30319-2065

Practice Phone: 404-421-0064
Practice Fax:

Directions to “ DR. JAMES BERNARD HALL M.D.” 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.