BROOKHAVEN MEDICAL CENTERS, INC. (NPI# 1427274075) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1427274075 |
Entity Type | Organization |
Organization Name | BROOKHAVEN MEDICAL CENTERS, INC. |
Other Organization Name | BROOKHAVEN MEDICAL SERVICES |
Practice Address |
1020 Ne Loop 410 Suite 650 San Antonio TX 78209-1204 |
Practice Telephone | 2108281991 |
Mailing Telephone | 2108281991 |
Enumeration Date | 2007-04-18 |
Last Update Date | 2020-08-22 |
Authorized Official Name | MR. MARK WESLEY HUDSON (V.P. OPERATIONS) |
Authorized Official Telephone | 2108281991 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QR0400X |
Clinic/Center Specialization: Rehabilitation |
Ambulatory Health Care Facilities |
Other Name | Type Code |
---|---|
Brookhaven Medical Services | Doing Business As Name - Organization |
Street Address |
1020 NE LOOP 410 SUITE 650 |
City | SAN ANTONIO |
State | TX |
Zip Code | 78209-1204 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1306158696 | Kristen Posey | Speech-Language Pathologist | 1020 Ne Loop 410, Suite 640, San Antonio, TX 78209-1204 | 2010-07-02 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1891346359 | Westlake Dermatology of San Antonio Pllc | Dermatology | 5500 Broadway Ave Ste R100, Alamo Heights, TX 78209 | 2019-09-26 |
1265086045 | Westlake Dermatology, Pa | Dermatology | 5500 Broadway Ave, Alamo Heights, TX 78209 | 2019-07-30 |
1194207530 | Arthur Davies | Licensed Vocational Nurse | 8700 Crownhill Blvd #300, San Antonio, TX 78209 | 2018-09-01 |
1538649462 | Jessica Michelle Moore | Licensed Vocational Nurse | 8400 Crown Hill Blvd, San Antonio, TX 78209 | 2018-08-20 |
1871072645 | Olawunmi Olapeju Odele | Licensed Vocational Nurse | 8700 Crownhill Blvd. Ste.300, San Antonio, TX 78209 | 2018-08-12 |
1265921126 | Ashley L Garcia | Physician Assistant | 414 W Sunset Rd Ste 205, San Antonio, TX 78209 | 2018-05-07 |
1083117428 | New Choices Treatment Center LLC | Substance Abuse Rehabilitation Facility | 3050 Eisenhauer Rd Apt 501, San Antonio, TX 78209 | 2018-03-12 |
1629570106 | Julieta Rubio Hobbs | Counselor | 4301 Broadway St. 438, San Antonio, TX 78209 | 2018-03-01 |
1326550187 | Shannon Lee Crowley | Occupational Therapy Assistant | 403 Irvington Dr, San Antonio, TX 78209 | 2017-11-01 |
1932627007 | Juanita De Luna Salazar | Physical Therapist | 1635 Ne Interstate 410 Loop, #600, San Antonio, TX 78209 | 2017-09-08 |
Find all providers in zip 78209 |
Taxonomy Code | 261QR0400X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Rehabilitation |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1841708419 | 1st Comfort Home Health Care | Clinic/Center | 5312 Carriage Cpe, San Antonio, TX 78261-4418 | 2018-01-17 |
1063929792 | Rehabcare Group East, LLC | Clinic/Center | Isle At Watercrest Dominion, 6906 Heuermann Road, San Antonio, TX 78256 | 2018-01-03 |
1922536010 | Simply The Best Therapy Clinic, LLC | Clinic/Center | 13423 Blanco Rd Ste 331, San Antonio, TX 78216-2187 | 2017-06-01 |
1568614261 | Texas Mtg, Pllc | Clinic/Center | 1603 Babcock Rd Ste 159, San Antonio, TX 78229-4715 | 2008-10-14 |
1285884130 | Bent Tree Bracing LLC | Clinic/Center | 7744 Broadway St Ste 201, San Antonio, TX 78209-3262 | 2008-09-29 |
1710027719 | Workers Compensation Assistance Clinic | Clinic/Center | 5732 Wurzbach Rd, San Antonio, TX 78238-1747 | 2007-02-07 |
1538104112 | Post Acute Medical At San Antonio LLC | Clinic/Center | 7616 Culebra Rd, Suite 115, San Antonio, TX 78251-1476 | 2006-06-18 |
1861439754 | A Plus Family Care LLC | Clinic/Center | 9514 Console Dr Ste 200, San Antonio, TX 78229 | 2006-06-01 |
1912960998 | Select Physical Therapy Texas Limited Partnership | Clinic/Center | 606 Sw Military Dr, San Antonio, TX 78221-1637 | 2006-04-10 |
1558988428 | Brain Based Rehab, Pllc | Clinic/Center | 23165 Bat Cave Rd, San Antonio, TX 78266-2686 | 2020-06-26 |
Find all providers in SAN ANTONIO |
City | SAN ANTONIO |
Zip Code | 78209 |
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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.