Healthcare Provider Details

I. General information

NPI: 1356105597
Provider Name (Legal Business Name): BY HEALTH, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/08/2024
Last Update Date: 06/22/2026
Certification Date: 06/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1423 MAGNOLIA STREET SUITE I
GULFPORT MS
39507
US

IV. Provider business mailing address

1423 MAGNOLIA ST APT I
GULFPORT MS
39507-3569
US

V. Phone/Fax

Practice location:
  • Phone: 228-363-3914
  • Fax:
Mailing address:
  • Phone: 228-240-8833
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QU0200X
TaxonomyUrgent Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: GARY L BARTON JR.
Title or Position: MANAGER
Credential:
Phone: 228-240-8833