Brunette Bastien Medical Services LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

BRUNETTE BASTIEN MEDICAL SERVICES LLC

Practice address

1425 Viscaya Pkwy Ste 101
Cape Coral, FL 33990-3294

Phone

(239) 293-5829

Fax

(239) 236-1200

NPI assigned

Jul 20, 2022

Organization subpart

No

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

Authorized official

Name

Ms. Brunette Bastien

Title

Owner

Phone

(239) 919-4851

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1658275200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675209600000",
    "number": "1114652476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1425 VISCAYA PKWY STE 101",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339903294",
            "telephone_number": "239-919-4851",
            "fax_number": "239-236-1200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1425 VISCAYA PKWY STE 101",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339903294",
            "telephone_number": "239-293-5829",
            "fax_number": "239-236-1200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRUNETTE BASTIEN MEDICAL SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-20",
        "last_updated": "2023-02-01",
        "certification_date": "2023-02-01",
        "status": "A",
        "authorized_official_last_name": "BASTIEN",
        "authorized_official_first_name": "BRUNETTE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "239-919-4851",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lauren Elizabeth Brown
• Letrecia Brown, LCSW
• Sara Kristine Brown, LMP
• Katherine Hettleman Brucker, MPT
• Elizabeth Drew Brumm, MSW
• David Augustus Bryant, DO
• Bspeechie, LLC
• Kasey Bubb
• Theresa Buckley, APRN, CNM
• Joseph G Bucknavage, MD

• Mental Health Clinic/Center (Including Community Mental Health Center) in Cape Coral, FL
• Providers in Cape Coral, FL by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2023; 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.