DARRELL NETTLOW MD NPI 1669851697

NPI Information

  • NPI: 1669851697
  • Provider Name: DARRELL NETTLOW, MD
  • Classification: Internal Medicine - 207RP1001X
  • Specialization: Pulmonary Disease
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 301 FISHER ST
    KEESLER AFB, MS
    ZIP 39534
  • Phone: (228) 376-2273

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NPI Details

Darrell Nettlow, MD is a pulmonary disease internal medicine in Keesler Afb, MS with 10 years of experience. The provider is an internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. Darrell Nettlow, MD NPI is 1669851697. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF VERMONT COLLEGE OF MEDICINE
Graduation Year:2015

The provider's business location address is:

301 FISHER ST
KEESLER AFB, MS
ZIP 39534-508
Phone: (228) 376-2273

The NPI 1669851697 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 5/22/2015 and was last updated on 2/21/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207R00000XInternal Medicine29134MISSISSIPPINo
2207R00000XInternal MedicineA155909CALIFORNIANo
3207RC0200XInternal MedicineCritical Care Medicine330830LOUISIANANo
4207RC0200XInternal MedicineCritical Care Medicine29134MISSISSIPPINo
5207RC0200XInternal MedicineCritical Care MedicineA155909CALIFORNIANo
6207RP1001XInternal MedicinePulmonary DiseaseA155909CALIFORNIANo
7207RP1001XInternal MedicinePulmonary Disease330830LOUISIANANo
8207RP1001XInternal MedicinePulmonary Disease29134MISSISSIPPIYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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