IndividualActive
Charles Kergosien, M.D.
NPI 1619087541 · Internal Medicine Physician · Brookhaven, MS
Provider details
- NPI number
- 1619087541
- Entity type
- Individual
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- Yes
- License
- 15445 (MS)
Practice location
527 Silver Cross Dr
Brookhaven, MS 39601-2388
Phone: (601) 835-0507
Fax: (601) 835-2766
Mailing address
Po Box 4177
Brookhaven, MS 39603-6177
Registry dates
- Enumerated
- 2006-08-30
- Last updated
- 2013-01-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.