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

Brandy Montgomery

Individual provider Family Nurse Practitioner · NPI 1740016773

Brandy Montgomery is a Nurse Practitioner in Pontotoc, Mississippi. Qualified in 2024, 2 years ago. Practices with Uppal Medical Center LLC, a 131-clinician group and accepts Medicare assignment. Licensed in Mississippi.

Years since qualifying
2
Licensed in
MS
In the registry since
2024
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Practice location Address checks out

109 Highway 15 S
Pontotoc, MS 38863-2628
Phone: (662) 509-9934
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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 906930 (MS)

Record details

NPI number1740016773
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 9, 2024
Last updated in NPPESSeptember 12, 2024
Certification dateSeptember 12, 2024
Mailing address109 Highway 15 S, Pontotoc, MS 38863-2628

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Uppal Medical Center Llc — 131 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Pontotoc