IndividualActive
Ian Brastauskas
NPI 1013411859 · Vascular Surgery Physician · Jackson, MS
Provider details
- NPI number
- 1013411859
- Entity type
- Individual
- Primary specialty
- Vascular Surgery PhysicianAllopathic & Osteopathic Physicians
- Sex
- Male
- Sole proprietor
- No
- License
- T-5445 (MS)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
2500 N State St
Jackson, MS 39216-4500
Phone: (601) 984-1000
Approximate (ZIP-level) locationGet directions
Mailing address
2500 N State St
Jackson, MS 39216-4500
Registry dates
- Enumerated
- 2018-03-19
- Last updated
- 2024-07-02
- Certified
- 2024-07-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.