Active NPI
Brooks City Base Clinic
- Military Hospital
- Lackland a F B, TX
National Provider Identifier
1124198809
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Military Hospital
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider DirectoryNPI 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.