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

Douglas Bethea, DO

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1578366209

Douglas Bethea, DO is a Student in an Organized Health Care Education/Training Program in Jackson, Mississippi. Licensed in Mississippi. Registered with an NPI since 2025.

Licensed in
MS
In the registry since
2025
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

2500 N State St
Jackson, MS 39216-4500
Phone: (601) 984-1000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Anesthesiology Physician (primary) Taxonomy 207L00000X · Licence T-5662 (MS)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1578366209
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedMarch 28, 2025
Last updated in NPPESJuly 1, 2025
Certification dateJuly 1, 2025
Mailing address2500 N State St, Jackson, MS 39216-4500

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