IndividualActive
Bradley Martin, PA-C
NPI 1841249489 · Surgical Physician Assistant · Brookhaven, MS
Provider details
- NPI number
- 1841249489
- Entity type
- Individual
- Primary specialty
- Surgical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Male
- Sole proprietor
- No
- License
- PA00053 (MS)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
815 Highway 51 N
Brookhaven, MS 39601-2079
Phone: (601) 554-7400
Approximate (ZIP-level) locationGet directions
Mailing address
3688 Veterans Memorial Dr Ste 200
Hattiesburg, MS 39401-8246
Registry dates
- Enumerated
- 2006-05-10
- Last updated
- 2025-10-17
- Certified
- 2025-10-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.