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

Russell Tyler Brant

Individual provider Physical Therapist · NPI 1417703166

Russell Tyler Brant is a Physical Therapist in Private Practice in Biloxi, Mississippi. Qualified in 2018, 8 years ago. Practices with Exceed of MS LLC, a 10-clinician group and accepts Medicare assignment. Licensed in Mississippi.

Years since qualifying
8
Licensed in
MS
In the registry since
2024
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Practice location Address checks out

920 Cedar Lake Rd Ste S
Biloxi, MS 39532-2107
Phone: (228) 641-2880
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence PT6476 (MS)

Record details

NPI number1417703166
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 24, 2024
Last updated in NPPESApril 24, 2024
Certification dateApril 24, 2024
Mailing address920 Cedar Lake Rd Ste S, Biloxi, MS 39532-2107

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Exceed Of Ms Llc — 10 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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