Organization Active NPI

Brookstone Medical LLC

  • Durable Medical Equipment & Medical Supplies
  • Augusta, GA
National Provider Identifier
1174431167
Registry record updated Aug 31, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
BROOKSTONE MEDICAL LLC
Practice address
3706 Executive Center Dr Ste a
Augusta, GA 30907-2326
Phone
(762) 257-5882
NPI assigned
Aug 31, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2026

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

Authorized official

Name
Matthew Corley
Title
Manager
Phone
(229) 496-6963

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

3706 Executive Center Dr Ste a
Augusta, GA 30907-2326

Mailing address

117 Hugh Rd
Leesburg, GA 31763-5202

NPI Registry JSON

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

{
    "created_epoch": "1788134400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788134400000",
    "number": "1174431167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "117 HUGH RD",
            "city": "LEESBURG",
            "state": "GA",
            "postal_code": "317635202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3706 EXECUTIVE CENTER DR STE A",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309072326",
            "telephone_number": "762-257-5882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROOKSTONE MEDICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-08-31",
        "last_updated": "2026-08-31",
        "certification_date": "2026-08-31",
        "status": "A",
        "authorized_official_last_name": "CORLEY",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "229-496-6963"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Augusta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.