BRIAN THREADGILL
NPI 1629909346
Student in an Organized Health Care Education/Training Program in Jackson, MS

Active since May 29, 2026
2500 N STATE ST, JACKSON, MS 39216(601) 984-1000 Get Directions Write a Review

NPPES record last updated: May 29, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Brian Threadgill NPPES

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

BRIAN THREADGILL (NPI 1629909346) is an individual student in an organized health care education/training program in Jackson, Mississippi and active in the NPI registry since May 2026.

NPPES Registry Identity

NPI1629909346
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameBRIAN THREADGILL
Location Address2500 N STATE STJackson, MS 39216-4500
Mailing Address8199 Ms Highway 12Ackerman, MS 39735-9086 · (662) 582-3173
Sole ProprietorNo
Enumeration DateMay 29, 2026
NPPES CertifiedMay 29, 2026
NPI 1629909346 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
2500 N STATE ST, Jackson, MS 39216

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.

Psychiatry & Neurology (Neurology with Special Qualifications in Child Neurology)
2500 N STATE ST
JACKSON, MS 39216
Anesthesiology
2500 N STATE ST
JACKSON, MS 39216
Anesthesiology
2500 N STATE ST
JACKSON, MS 39216
Obstetrics & Gynecology
2500 N STATE ST
JACKSON, MS 39216
Emergency Medicine
2500 N STATE ST
JACKSON, MS 39216
Dentist
2500 N STATE ST
JACKSON, MS 39216
Anesthesiology
2500 N STATE ST
JACKSON, MS 39216
Nurse Anesthetist, Certified Registered
2500 N STATE ST
JACKSON, MS 39216

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 Brian Threadgill's NPI number?

The NPI number for Brian Threadgill is 1629909346. It was assigned to this individual provider in the NPPES registry on May 29, 2026.

Where is Brian Threadgill located?

Brian Threadgill practices at 2500 N State St, Jackson, MS 39216. The listed phone number is (601) 984-1000.

What is Brian Threadgill's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Brian Threadgill was last updated on May 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.