Provider Type Icon

BROOKSTONE COMPREHENSIVE BREAST CARE CENTER LLC NPI 1689010167


NPI Information

NPI: 1689010167
Provider Name: BROOKSTONE COMPREHENSIVE BREAST CARE CENTER, LLC
Classification: Clinic/Center - 261QR0206X
Entity Type: Organization

Specialization: Radiology, Mammography

Address:
1000 CENTRE BROOK CT
COLUMBUS, GA
ZIP 31904
Phone: (706) 507-7055
Get Directions

BROOKSTONE COMPREHENSIVE BREAST CARE CENTER, LLC is a radiology and mammography clinic center in Columbus, GA. BROOKSTONE COMPREHENSIVE BREAST CARE CENTER, LLC NPI is 1689010167. The provider is registered as an organization entity type.

The provider's business location address is:

1000 CENTRE BROOK CT
COLUMBUS, GA
ZIP 31904-573
Phone: (706) 507-7055
Fax: (706) 507-7056

The provider's authorized official is Richard R. Bloom .
The authorized official title is Medical Director and has the following contact phone number (706) 507-7055.

The enumeration date for this NPI number is 5/10/2013 and was last updated on 5/10/2013.


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
1261QR0206XClinic/CenterRadiology, MammographyYes

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.