BROOKSTONE SURGICAL CENTER


Address: 1000 Centre Brook Court, Columbus, GA 31904
Phone: 7065764474

BROOKSTONE SURGICAL CENTER (NPI# 1821394602) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1821394602
Entity Type Organization
Organization Name BROOKSTONE SURGICAL CENTER
Practice Address 1000 Centre Brook Court
Columbus
GA 31904
Practice Telephone 7065764474
Mailing Telephone 7065764474
Enumeration Date 2011-01-27
Last Update Date 2014-07-09
Authorized Official Name DR. RICHARD C BLOOM (MEDICAL DIRECTOR)
Authorized Official Telephone 7066537008
Authorized Official Credential MD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QA1903X Clinic/Center
Specialization: Ambulatory Surgical
106-459 GA Ambulatory Health Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
GA 00476693H 05

Office Location

Street Address 1000 CENTRE BROOK COURT
City COLUMBUS
State GA
Zip Code 31904

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1881161529 Lesley Kathleen Simmons Massage Therapist 5402 15th Ave, Columbus, GA 31904 2018-10-31
1184190662 Alphonsa Joseph Nurse Practitioner 2430 Brookstone Centre Parkway, Columbus, Georgia 31904, Columbus, GA 31904 2018-10-22
1568942704 William Pearce Massey Social Worker 8851-1 Moore Road, Columbus, GA 31904 2018-08-17
1033696372 Marlise V. Gray Counselor 2013 Devonshire Dr. Suite 115, Columbus, GA 31904 2018-07-19
1710418173 Amanda Barnette Pruett Behavioral Analyst 200 Brookstone Centre Pkwy Bldg 200, Columbus, GA 31904 2017-03-27
1750833232 Carrie Leigh Whitehead Nurse Practitioner 6228 Bradley Park Dr. Suite A, Columbus, GA 31904 2016-10-31
1609323369 Shomika Lasha Battle Registered Nurse 2101 North Avenue, Columbus, GA 31904 2016-09-09
1952759219 Peaceful River Home Care Agency In Home Supportive Care 738 Rudgate Road, Columbus, GA 31904 2016-05-27
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Taxonomy Information

Taxonomy Code 261QA1903X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Ambulatory Surgical

Taxonomy Definition

Definition to come...

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1669905733 Hines Dental Surgery Center LLC Clinic/Center 5770 North Hamilton Road, Columbus, OH 43230 2017-04-06
1295287522 Midtown Surgery Center Clinic/Center 1224 Stark Ave, Columbus, GA 31906-2500 2016-11-03
1932465887 Columbus Specialty Surgery Center LLC Clinic/Center 2425 Northpark Dr Ste 20, Columbus, IN 47203-2373 2012-04-04
1467768549 Central Ohio Endoscopy Center, LLC. Clinic/Center 815 W Broad St Ste 220, Columbus, OH 43222-1478 2010-08-26
1265624696 Central Ohio Urology Surgery Center, LLC Clinic/Center 3100 Plaza Properties Boulevard, Suite 320, Columbus, OH 43219 2007-08-09
1730306556 Downtown Gynecologists Clinic/Center 1243 E. Broad St., Columbus, OH 43205 2007-04-20
1124107198 Central Ohio Endoscopy Center, LLC Clinic/Center 3800 Olentangy River Rd, Columbus, OH 43214-3455 2006-11-02
1356428338 National Women's Health Organization of Columbus, Inc. Clinic/Center 3850 Rosemont Dr, Columbus, GA 31904-5659 2006-11-01
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Competitor

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City COLUMBUS
Zip Code 31904

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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