GULF COAST NEUROSPA LLC – NPI #1013515451
Psychiatry & Neurology

A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.

Health Care Provider Taxonomy Code for Psychiatry & Neurology

GULF COAST NEUROSPA LLC is a psychiatry & neurologist located in GULFPORT, MS. NPPES has assigned the NPI number 1013515451 to GULF COAST NEUROSPA LLC on October 16, 2020. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The former legal business name for this organization is BRIDGEWATER TMS LLC. The primary taxonomy selected by this provider is 2084P0800X from the Health Care Provider Taxonomy code set, which is classified as Psychiatry & Neurology, specializing in Psychiatry

The NPI profile was previously updated about 3 years ago on Apr 25, 2023. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for GULF COAST NEUROSPA LLC below.

NPI Profile for
GULF COAST NEUROSPA LLC

NPI Number
1013515451
Enumeration Date

(more than 5 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
GULF COAST NEUROSPA LLC
Former Legal Business Name: BRIDGEWATER TMS LLC
Primary location
8845 LORRAINE ROAD
GULFPORT, MS 39503
Phone: (228) 277-1771 Fax: (866) 740-0655
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
BRYAN VYVERBERG
OWNER
Phone: (228) 277-1771
Updated
Certification Date
Apr 25, 2023

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
2084P0800X
- Psychiatry & Neurology / Psychiatry (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.