Active NPI
Brentwood Surgery Center, LLC
- Ambulatory Surgical Clinic/Center
- Brentwood, TN
National Provider Identifier
1104373315
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- License
- 185
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 185 | Other | TN | STATE OF TENNESSEE |
Other names 1
- Brentwood Surgery Center
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 Inc
- Medicare certification status
- Active
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 44D2117105 | Brentwood Surgery Center, LLC | Certificate of waiver | Aug 8, 2026 |
National Provider Directory
National Provider DirectoryMember of 1
Organizations this organization is a member of, according to the National Provider Directory.
-
- Critical Access Hospital
- Ashland City, TN
- NPI 1518904572
Member Of
Member organizations 1
Organizations listed as members of this organization in the National Provider Directory.
-
- Ambulatory Surgical Clinic/Center
- Nashville, TN
- NPI 1215990247
Member Of
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
- Brentwood Pelvic Health
- Brentwood Primary Care
- Brentwood Professional Group Inc.
- Brentwood Spine & Wellness
- Brentwood Spine and Joint, PLLC
- Brentwood Wellness Recovery and Detox Dba Nashville Wellness Recovery and Detox
- Bernadette Michelle Brewer
- Stephanie Bridgman
- Devon Bridgwaters, M.ED
- Robyn Brien, LCSW
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.