NPI 1154367738

Bryan David Leatherman, MD

Practitioner Otolaryngic Allergy Physician Gulfport, MS

Practice location

Address: 1213 Broad Ave Suite 4, Gulfport, MS 39501-2475
Phone: (228) 864-2121
Mailing address: 218 Oakwood Dr, Gulfport, MS 39507-1918

Registered specialties (2)

Otolaryngic Allergy Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207YX0602X Licence 17564 (MS)

Other Otolaryngology providers in Mississippi →

Otolaryngology Physician

Allopathic & Osteopathic Physicians Taxonomy 207Y00000X Licence 17564 (MS)

Registry record

NPI: 1154367738
Entity type: Individual
Sex (as registered): Male
NPI issued: 21 Jun 2006
Record last updated: 11 Sep 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.