Brookstone Medical LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

BROOKSTONE MEDICAL LLC

Practice address

117 Hugh Rd
Leesburg, GA 31763-5202

Phone

(229) 886-4730

NPI assigned

May 19, 2014

Organization subpart

No

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

Authorized official

Name

Mr. Matthew R Corley

Title

Owner/Ceo

Phone

(229) 496-6963

Specialties & licenses 1

Addresses

Other names 1

• Brookstone Medical Doing business as

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Locations

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

{
    "created_epoch": "1400457600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666742400000",
    "number": "1023429511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "117 HUGH RD",
            "city": "LEESBURG",
            "state": "GA",
            "postal_code": "317635202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 HUGH RD",
            "city": "LEESBURG",
            "state": "GA",
            "postal_code": "317635202",
            "telephone_number": "229-886-4730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROOKSTONE MEDICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-19",
        "last_updated": "2022-10-26",
        "certification_date": "2022-10-26",
        "status": "A",
        "authorized_official_last_name": "CORLEY",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "229-496-6963",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Brookstone Medical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jason B Boyd, NP
• Ashley Brinkley, COTA/L
• Anna Louise Britt, OD
• Kayla Danielle Brock, PTA
• Shala Brooks
• Rebecca Broschart, D.O.
• Tammie T Brown
• Tymesheya D Brown
• Yolando Bryant
• Tammy A Buchanon, APRN

• Durable Medical Equipment & Medical Supplies in Leesburg, GA
• Providers in Leesburg, GA by specialty
• Durable Medical Equipment & Medical Supplies in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.