Organization Active NPI

Sleep Easy Gulf Coast Sleep Diagnostic Center LLC

  • Sleep Disorder Diagnostic Clinic/Center
  • Pensacola, FL
National Provider Identifier
1053504043
Registry record updated Mar 12, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sleep Disorder Diagnostic Clinic/CenterTaxonomy code 261QS1200X
Legal business name
SLEEP EASY GULF COAST SLEEP DIAGNOSTIC CENTER LLC
Practice address
2475 E Nine Mile Rd
Suite F
Pensacola, FL 32514-7795
Phone
(850) 607-7293
Fax
(850) 607-7321
NPI assigned
Aug 22, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2012

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

Authorized official

Name
Stuart H. Brown
Title
Administrator
Phone
(850) 607-7293

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sleep Disorder Diagnostic Clinic/Center 261QS1200X Primary

Addresses

Primary practice location

2475 E Nine Mile Rd
Suite F
Pensacola, FL 32514-7795

Mailing address

PO Box 6370
Pensacola, FL 32503-0370
Phone (850) 607-7293

Other identifiers 2

IdentifierTypeStateIssuer
V3218OtherFLBCBS FLORIDA
59195542OtherALBCBS ALABAMA

National Provider Directory

National Provider Directory

Locations

4805 W Fairfield Dr
Pensacola, FL 32506
Phone (850) 433-5779

2475 E Nine Mile Rd
Ste F
Pensacola, FL 32514
Phone (850) 607-7293

NPI Registry JSON

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

{
    "created_epoch": "1187740800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1331510400000",
    "number": "1053504043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6370",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325030370",
            "telephone_number": "850-607-7293",
            "fax_number": "850-607-7321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2475 E NINE MILE RD",
            "address_2": "SUITE F",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325147795",
            "telephone_number": "850-607-7293",
            "fax_number": "850-607-7321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SLEEP EASY GULF COAST SLEEP DIAGNOSTIC CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-22",
        "last_updated": "2012-03-12",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "STUART",
        "authorized_official_middle_name": "H.",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "850-607-7293"
    },
    "taxonomies": [
        {
            "code": "261QS1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Sleep Disorder Diagnostic",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS FLORIDA",
            "identifier": "V3218",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS ALABAMA",
            "identifier": "59195542",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pensacola, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2012; 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.