TERRY KEITH BRANTLEY MD
NPI 1053355040
Emergency Medicine in Jackson, MS

Active since June 16, 2006
1850 CHADWICK DR, JACKSON, MS 39204(904) 805-1300(904) 805-1302 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Terry Keith Brantley Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TERRY KEITH BRANTLEY MD (NPI 1053355040) is an individual emergency medicine provider in Jackson, Mississippi, licensed in Mississippi (05961) and active in the NPI registry since June 2006.

NPPES Registry Identity

NPI1053355040
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameTERRY KEITH BRANTLEYCredential: MD
Location Address1850 CHADWICK DRJackson, MS 39204-3404
Mailing Address200 Corporate Blvd, Ste 201Lafayette, LA 70508-3870
Fax(904) 805-1302
Sole ProprietorNo
Enumeration DateJune 16, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1053355040 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License Licensed in MS · 05961
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
1850 CHADWICK DR, Jackson, MS 39204

Other Identifiers 3

Medicaid00014917MS
OtherP00205130MS · Railroad Medicare
Medicare UPINB31063MS

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner
1850 CHADWICK DR
JACKSON, MS 39204
Internal Medicine
1850 CHADWICK DR
JACKSON, MS 39204
Social Worker (Clinical)
1850 CHADWICK DR
JACKSON, MS 39204
Nurse Practitioner
1850 CHADWICK DR
JACKSON, MS 39204
Emergency Medicine
1850 CHADWICK DR
JACKSON, MS 39204
Nurse Practitioner (Family)
1850 CHADWICK DR
JACKSON, MS 39204
Nurse Practitioner (Family)
1850 CHADWICK DR
JACKSON, MS 39204
Nurse Anesthetist, Certified Registered
1850 CHADWICK DR
JACKSON, MS 39204

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Terry Brantley's NPI number?

The NPI number for Terry Brantley is 1053355040. It was assigned to this individual provider in the NPPES registry on June 16, 2006.

Where is Terry Brantley located?

Terry Brantley practices at 1850 Chadwick Dr, Jackson, MS 39204. The listed phone number is (904) 805-1300.

What is Terry Brantley's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

When was this NPI record last updated?

The NPPES record for Terry Brantley was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.