BROOKSTONE SURGICAL CENTER NPI 1821394602

NPI Information

NPI: 1821394602
Provider Name: BROOKSTONE SURGICAL CENTER
Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

CLIA Number: 11D2026263

Address:
1000 CENTRE BROOK COURT
COLUMBUS, GA
ZIP 31904
Phone: (706) 576-4474
Get Directions

BROOKSTONE SURGICAL CENTER is an ambulatory surgical clinic center in Columbus, GA. BROOKSTONE SURGICAL CENTER NPI is 1821394602. The provider is registered as an organization entity type.

The provider's business location address is:

1000 CENTRE BROOK COURT
COLUMBUS, GA
ZIP 31904
Phone: (706) 576-4474

The provider's authorized official is Richard C Bloom .
The authorized official title is Medical Director and has the following contact phone number (706) 653-7008.

The CLIA number assigned to this NPI record is 11D2026263 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/27/2011 and was last updated on 7/9/2014.

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
1	261QA1903X	Clinic/Center	Ambulatory Surgical	106-459	GEORGIA	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	00476693H	MEDICAID	GEORGIA

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

NPI Synchronization or Removal

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.

« Previous NPI

Next NPI »