Dr. Brent Bozeman, Ph.D.
Counselor, Professional in Oxford, MS. Individual provider (NPI-1).
NPI number1962860973
StatusActive
Last updated in NPPESFeb 10, 2016
Details
- NPI
- 1962860973
- Entity type
- Individual (NPI-1)
- Name
- Dr. Brent Bozeman
- Credential
- Ph.D.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Feb 4, 2016
- Last updated
- Feb 10, 2016
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YP2500X | Counselor, Professional | – | – | Yes |
Practice location
152 Highway 7 SOxford, MS 38655-5392
Phone 662-234-7521
Mailing address
152 Highway 7 SOxford, MS 38655-5392
Phone 662-234-7521
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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