Organization Active NPI

Brentwood Surgery Center, LLC

  • Ambulatory Surgical Clinic/Center
  • Brentwood, TN
National Provider Identifier
1104373315
Registry record updated Sep 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
185 Issued in TN
Legal business name
BRENTWOOD SURGERY CENTER, LLC
Practice address
1001 Health Park Dr Ste 101
Brentwood, TN 37027-5804
Phone
(615) 750-8777
Fax
(615) 750-8778
NPI assigned
Sep 6, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2026

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

Authorized official

Name
David McKnight
Title
VP/Cfo
Phone
(972) 789-2816

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X 185 TN Primary

Addresses

Primary practice location

1001 Health Park Dr Ste 101
Brentwood, TN 37027-5804

Mailing address

1001 Health Park Dr Ste 101
Brentwood, TN 37027-5804
Phone (615) 750-8777

Other identifiers 1

IdentifierTypeStateIssuer
185OtherTNSTATE OF TENNESSEE

Other names 1

  • Brentwood Surgery Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170403001537 TN Part B Supplier - Ambulatory Surgical Center 6103859061 Practice locations: Brentwood, TN

Care Compare: Ambulatory surgical center

Medicare Care Compare
Listed as
Surgicare of Southern Hills IncCCN 44C0001192
Medicare certification status
ActiveFrom the Provider of Services file

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
44D2117105Brentwood Surgery Center, LLC1001 Health Park Drive, Suite 101, Brentwood, TN 37027Certificate of waiverAug 8, 2026

National Provider Directory

National Provider Directory

Member of 1

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

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Locations

1001 Health Park Dr
Brentwood, TN 37027
Phone (615) 762-0529

NPI Registry JSON

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

{
    "created_epoch": "1473120000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788912000000",
    "number": "1104373315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 HEALTH PARK DR STE 101",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370275804",
            "telephone_number": "615-750-8777",
            "fax_number": "615-750-8778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 HEALTH PARK DR STE 101",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370275804",
            "telephone_number": "615-750-8777",
            "fax_number": "615-750-8778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRENTWOOD SURGERY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-06",
        "last_updated": "2026-09-09",
        "certification_date": "2026-09-09",
        "status": "A",
        "authorized_official_last_name": "MCKNIGHT",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "VP/CFO",
        "authorized_official_telephone_number": "972-789-2816"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "TN",
            "license": "185",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF TENNESSEE",
            "identifier": "185",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Brentwood Surgery Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Brentwood, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2026; 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.