IndividualActive
Brent Treadway, MD
NPI 1235692302 · Emergency Medicine Physician · Jackson, MS
Provider details
- NPI number
- 1235692302
- Entity type
- Individual
- Primary specialty
- Emergency Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 336356 (LA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Student, Health Care
Practice location
2500 N State St
Jackson, MS 39216-4500
Phone: (610) 984-1000
Approximate (ZIP-level) locationGet directions
Mailing address
200 Corporate Blvd
Lafayette, LA 70508-3870
Registry dates
- Enumerated
- 2019-04-07
- Last updated
- 2025-02-19
- Certified
- 2025-02-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.