Provider Demographics
NPI:1184985244
Name:PERSON, BRETT THOMAS (BRETT PERSON)
Entity type:Individual
Prefix:DR
First Name:BRETT
Middle Name:THOMAS
Last Name:PERSON
Suffix:
Gender:M
Credentials:BRETT PERSON
Other - Prefix:DR
Other - First Name:BRETT
Other - Middle Name:THOMAS
Other - Last Name:PERSON
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:BRETT PERSON
Mailing Address - Street 1:1000 UNIVERSITY AVENUE
Mailing Address - Street 2:HOUSE NUMBER 5
Mailing Address - City:OXFORD
Mailing Address - State:MS
Mailing Address - Zip Code:38655
Mailing Address - Country:US
Mailing Address - Phone:662-299-1121
Mailing Address - Fax:662-259-2821
Practice Address - Street 1:1000 UNIVERSITY AVE
Practice Address - Street 2:HOUSE NUMBER 5
Practice Address - City:OXFORD
Practice Address - State:MS
Practice Address - Zip Code:38655-3966
Practice Address - Country:US
Practice Address - Phone:662-299-1121
Practice Address - Fax:662-259-2821
Is Sole Proprietor?:Yes
Enumeration Date:2012-06-06
Last Update Date:2012-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MS7841207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine