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

Individual provider Family Nurse Practitioner · NPI 1104293463

Bradley Martin Myers, FNP is a Nurse Practitioner in Hattiesburg, Mississippi. Qualified in 2015, 11 years ago. Practices with Hattiesburg Clinic PA, a 530-clinician group and accepts Medicare assignment. Licensed in Mississippi.

Years since qualifying
11
Licensed in
MS
In the registry since
2015
Specialties on file
2
What do these letters mean?
FNP — Family Nurse Practitioner
A nurse practitioner who treats patients of all ages, much like a family doctor.

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Practice location Address checks out

301 S 28th Ave
Hattiesburg, MS 39401-7233
Phone: (601) 288-8282
Fax: (601) 288-8290
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 885821 (MS)
Nurse Practitioner Taxonomy 363L00000X · Licence R885821 (MS)

Record details

NPI number1104293463
Entity typeIndividual (Type 1)
GenderMale
Credentials FNP
Sole proprietorNo
NPI enumeratedAugust 21, 2015
Last updated in NPPESJuly 24, 2020
Certification dateJuly 24, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Hattiesburg Clinic Pa — 530 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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