Organization Active NPI

Brunswick Gericare PC

  • Geriatric Medicine (Family Medicine) Physician
  • Calabash, NC
National Provider Identifier
1174658371
Registry record updated May 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Family Medicine) PhysicianTaxonomy code 207QG0300X
Legal business name
BRUNSWICK GERICARE PC
Practice address
602 Thomasboro Road
Calabash, NC 28467-9820
Phone
(910) 579-3470
Fax
(910) 755-8988
NPI assigned
Feb 21, 2007
Last updated
May 20, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 20, 2008

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

Authorized official

Name
Dr. George Lacruise Saunders III, M.D.NPI 1063547255
Title
Owner
Phone
(910) 579-3470

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Family Medicine) Physician 207QG0300X NU Primary

Addresses

Primary practice location

602 Thomasboro Road
Calabash, NC 28467-9820

Mailing address

PO Box 29
Supply, NC 28462-0029
Phone (910) 579-3470

National Provider Directory

National Provider Directory

Locations

460 Holden Beach Rd SW
Shallotte, NC 28470
Phone (910) 579-3470

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1172016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211241600000",
    "number": "1174658371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 29",
            "city": "SUPPLY",
            "state": "NC",
            "postal_code": "284620029",
            "telephone_number": "910-579-3470",
            "fax_number": "910-755-8988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "602 THOMASBORO ROAD",
            "city": "CALABASH",
            "state": "NC",
            "postal_code": "284679820",
            "telephone_number": "910-579-3470",
            "fax_number": "910-755-8988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRUNSWICK GERICARE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-21",
        "last_updated": "2008-05-20",
        "status": "A",
        "authorized_official_last_name": "SAUNDERS",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "LACRUISE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "910-579-3470",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207QG0300X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Calabash, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2008; 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.