Healthcare Provider Details

I. General information

NPI: 1356442578
Provider Name (Legal Business Name): BRIAN SCOTT TORREY M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/26/2006
Last Update Date: 07/31/2024
Certification Date: 07/31/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

106 HIGHLAND WAY SUITE 103
MADISON MS
39110-6929
US

IV. Provider business mailing address

5959 S SHERWOOD FOREST BLVD
BATON ROUGE LA
70816-6038
US

V. Phone/Fax

Practice location:
  • Phone: 601-200-4750
  • Fax: 601-200-4740
Mailing address:
  • Phone: 601-200-4750
  • Fax: 225-765-4278

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number18620
License Number StateMS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: