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

Dr. Brent Andrew Treadway, MD

Individual provider Emergency Medicine Physician · NPI 1235692302

Dr. Brent Andrew Treadway, MD is an Emergency Medicine in Jackson, Mississippi. Graduated from University of Mississippi School of Medicine in 2019, 7 years ago. Practices with St Tammany Emergency Physicians Group LLC, a 42-clinician group and accepts Medicare assignment. Licensed in Louisiana and Mississippi.

Years since qualifying
7
Trained at
University of Mississippi School of Medicine
Licensed in
LA, MS
In the registry since
2019
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

2500 N State St
Jackson, MS 39216-4500
Phone: (610) 984-1000
Show map & directions

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

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence 336356 (LA)
Emergency Medicine Physician Taxonomy 207P00000X · Licence 28669 (MS)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X (MS)

Record details

NPI number1235692302
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 7, 2019
Last updated in NPPESFebruary 19, 2025
Certification dateFebruary 19, 2025

Medicare enrollment

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

Medicare specialtyEMERGENCY MEDICINE
Medical schoolUNIVERSITY OF MISSISSIPPI SCHOOL OF MEDICINE
Graduated 2019 (7 years in practice)
Group practice St Tammany Emergency Physicians Group Llc — 42 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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