Provider Demographics
NPI:1972633923
Name:TRUSSELL, BRIAN SCOTT (MD)
Entity type:Individual
Prefix:DR
First Name:BRIAN
Middle Name:SCOTT
Last Name:TRUSSELL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 649113
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75264-9113
Mailing Address - Country:US
Mailing Address - Phone:903-571-3844
Mailing Address - Fax:855-343-5763
Practice Address - Street 1:7100 U S HIGHWAY 98 STE 210
Practice Address - Street 2:
Practice Address - City:HATTIESBURG
Practice Address - State:MS
Practice Address - Zip Code:39402-8557
Practice Address - Country:US
Practice Address - Phone:601-545-7021
Practice Address - Fax:601-545-6978
Is Sole Proprietor?:No
Enumeration Date:2007-03-07
Last Update Date:2025-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MS20628208VP0000X, 2081P2900X, 208VP0014X, 2081S0010X, 208100000X, 204R00000X
KYR0869208100000X
VA0101243394208100000X
IN01061022A208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation
No208VP0000XAllopathic & Osteopathic PhysiciansPain MedicinePain Medicine
No2081P2900XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationPain Medicine
No208VP0014XAllopathic & Osteopathic PhysiciansPain MedicineInterventional Pain Medicine
No2081S0010XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationSports Medicine
No204R00000XAllopathic & Osteopathic PhysiciansElectrodiagnostic Medicine
No208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice