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BROOKVIEW WOMENS CENTER PLLC NPI 1598872269


NPI Information

NPI: 1598872269
Provider Name: BROOKVIEW WOMENS CENTER PLLC

Former Legal Business Name: CAROLINA GYNECOLOGIC ONCOLOGY

Classification: Clinic/Center - 261QM2500X
Entity Type: Organization

Specialization: Medical Specialty

CLIA Number: 34D2231267

Address:
3333 BROOKVIEW HILLS BLVD
SUITE 105
WINSTON SALEM, NC
ZIP 27103
Phone: (336) 765-1464
Get Directions

BROOKVIEW WOMENS CENTER PLLC is a medical specialty clinic center in Winston Salem, NC. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). BROOKVIEW WOMENS CENTER PLLC NPI is 1598872269. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is Carolina Gynecologic Oncology.

The provider's business location address is:

3333 BROOKVIEW HILLS BLVD
SUITE 105
WINSTON SALEM, NC
ZIP 27103-661
Phone: (336) 765-1464
Fax: (336) 760-2492

The provider's authorized official is Donald Edward Pittaway .
The authorized official title is Owner and has the following contact phone number (336) 765-1464.

The CLIA number assigned to this NPI record is 34D2231267 - other - clinical research with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/25/2006 and was last updated on 10/20/2010.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QM2500XClinic/CenterMedical SpecialtyNORTH CAROLINAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
10248JOTHERNORTH CAROLINABLUE CROSS BLUE SHIELD
2458OTHERPARTNERS NATIONAL HEALTH
32096077AMEDICARE ID-TYPE UNSPECIFIED
48967838MEDICAIDNORTH CAROLINA
581281OTHERMEDCOST
674-07470OTHERUNITED HEALTHCARE

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: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.