Bristol Surgery Center, LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

0000000052 Issued in TN

Legal business name

BRISTOL SURGERY CENTER, LLC

Practice address

350 Blountville Hwy
Suite 108
Bristol, TN 37620-0213

Phone

(423) 844-6120

Fax

(423) 844-6119

NPI assigned

May 27, 2006

Last updated

Jan 16, 2009By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Karen J Williams

Title

Administrator

Phone

(423) 844-6120

Specialties & licenses 1

Addresses

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Wellmont Health System, Inc

  dba Holston Valley Medical Center

  • Emergency Medicine Physician
  • Kingsport, TN
  • NPI 1982634440

  Member Of

  NPD member

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1148688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1232064000000",
    "number": "1013964063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 BLOUNTVILLE HWY",
            "address_2": "SUITE 108",
            "city": "BRISTOL",
            "state": "TN",
            "postal_code": "376200213",
            "telephone_number": "423-844-6120",
            "fax_number": "423-844-6119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 BLOUNTVILLE HWY",
            "address_2": "SUITE 108",
            "city": "BRISTOL",
            "state": "TN",
            "postal_code": "376200213",
            "telephone_number": "423-844-6120",
            "fax_number": "423-844-6119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRISTOL SURGERY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-27",
        "last_updated": "2009-01-16",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "KAREN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "423-844-6120",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "TN",
            "license": "0000000052",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bristol Orthotics & Prosthetics Inc.
• Bristol Pediatric Associates, P.C.
• Bristol Pediatric Dentistry PLLC
• Bristol Regional Women's Center
• Bristol Surgery Center
• Bristol Surgical Associates PC
• Bristol Urological Associates, P.C.
• Ronald Mitchell Brizendine, LCSW
• Broadmore Senior Living
• Andrew Brockmyre, MD

• Ambulatory Surgical Clinic/Center in Bristol, TN
• Providers in Bristol, TN by specialty
• Ambulatory Surgical Clinic/Center in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.