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

Bryan Tipton Sullivan, DPM

Individual provider Podiatrist · NPI 1164592044

Bryan Tipton Sullivan, DPM is a Podiatry in Jackson, Mississippi. Graduated from California School of Podiatric Medicine in 1986, 40 years ago. Licensed in Mississippi.

Years since qualifying
40
Trained at
California School of Podiatric Medicine
Licensed in
MS
In the registry since
2006
What do these letters mean?
DPM — Doctor of Podiatric Medicine
A foot and ankle physician and surgeon.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

1915 Dunbarton Dr
Jackson, MS 39216
Phone: (601) 982-3338
Fax: (601) 982-2253
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Podiatrist (primary) Taxonomy 213E00000X · Licence 80089 (MS)

Record details

NPI number1164592044
Entity typeIndividual (Type 1)
GenderMale
Credentials DPM
Sole proprietorNo
NPI enumeratedNovember 8, 2006
Last updated in NPPESJune 5, 2008
Mailing address1915 Dunbarton Drive, Jackson, MS 39216

Medicare enrollment

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

Medicare specialtyPODIATRY
Medical schoolCALIFORNIA SCHOOL OF PODIATRIC MEDICINE
Graduated 1986 (40 years in practice)
Accepts Medicare assignment Not indicated

Other providers in Jackson