Organization Active NPI

Brooks City Base Clinic

  • Military Hospital
  • Lackland a F B, TX
National Provider Identifier
1124198809
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Military HospitalTaxonomy code 286500000X
Legal business name
BROOKS CITY BASE CLINIC
Practice address
2200 Bergquist Dr
Attn Credentials (CMC) Suite One
Lackland a F B, TX 78236-9907
Phone
(210) 536-2976
NPI assigned
Nov 9, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Cynthia Lynn-Swearengin Pouncey, R.D.
Title
Health and Wellness Center
Phone
(210) 536-2976

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Military Hospital 286500000X Primary

Addresses

Primary practice location

2200 Bergquist Dr
Attn Credentials (CMC) Suite One
Lackland a F B, TX 78236-9907

Mailing address

2200 Bergquist Dr
Attn Credentials (CMC) Suite One
Lackland a F B, TX 78236-9907
Phone (210) 536-2976

Other names 1

  • Brooks Health and Wellness Center Other name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1163030400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1124198809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 BERGQUIST DR",
            "address_2": "ATTN CREDENTIALS (CMC) SUITE ONE",
            "city": "LACKLAND A F B",
            "state": "TX",
            "postal_code": "782369907",
            "telephone_number": "210-536-2976"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 BERGQUIST DR",
            "address_2": "ATTN CREDENTIALS (CMC) SUITE ONE",
            "city": "LACKLAND A F B",
            "state": "TX",
            "postal_code": "782369907",
            "telephone_number": "210-536-2976"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROOKS CITY BASE CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "POUNCEY",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_middle_name": "LYNN-SWEARENGIN",
        "authorized_official_title_or_position": "HEALTH AND WELLNESS CENTER",
        "authorized_official_telephone_number": "210-536-2976",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "R.D."
    },
    "taxonomies": [
        {
            "code": "286500000X",
            "taxonomy_group": "",
            "desc": "Military Hospital",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Brooks Health and Wellness Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Lackland a F B, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.