Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Gulf Coast Neurospa LLC

Organization Psychiatry Physician · NPI 1013515451

Gulf Coast Neurospa LLC is a Psychiatry Physician in Gulfport, Mississippi. Registered with an NPI since 2020.

In the registry since
2020
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

8845 Lorraine Rd
Gulfport, MS 39503
Phone: (228) 277-1771
Fax: (866) 740-0655
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X

Record details

NPI number1013515451
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Bryan Vyverberg — Owner · (228) 277-1771
Other names Bridgewater Tms Llc
NPI enumeratedOctober 16, 2020
Last updated in NPPESApril 25, 2023
Certification dateApril 25, 2023
Mailing address8845 Lorraine Road, Gulfport, MS 39503

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