NPIMap

Organization Active NPI

Brook G Bearden MDPC

  • Orthopaedic Surgery Physician
  • Valdosta, GA
National Provider Identifier
1174737266
Registry record updated Jan 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
56527 Issued in GA
Legal business name
BROOK G BEARDEN MDPC
Practice address
5116 Northwind Blvd
Valdosta, GA 31605-7672
Phone
(229) 333-0014
NPI assigned
May 9, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2008

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

Authorized official

Name
Dr. Brook G Bearden, MD
Title
Physician
Phone
(229) 333-0014

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207X00000X 56527 GA Primary

Addresses

Primary practice location

5116 Northwind Blvd
Valdosta, GA 31605-7672

Mailing address

5116 Northwind Blvd
Valdosta, GA 31605-7672
Phone (229) 333-0014

Other identifiers 1

IdentifierTypeStateIssuer
DF3232OtherGARAILROAD MEDCIARE PIN

National Provider Directory

National Provider Directory

Locations

453 Lakes Blvd
#B
Lake Park, GA 31636
Phone (229) 588-2866

5116 Northwind Blvd
Valdosta, GA 31605
Phone (229) 261-9500

NPI Registry JSON

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

{
    "created_epoch": "1178668800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1199836800000",
    "number": "1174737266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5116 NORTHWIND BLVD",
            "city": "VALDOSTA",
            "state": "GA",
            "postal_code": "316057672",
            "telephone_number": "229-333-0014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5116 NORTHWIND BLVD",
            "city": "VALDOSTA",
            "state": "GA",
            "postal_code": "316057672",
            "telephone_number": "229-333-0014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROOK G BEARDEN MDPC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-09",
        "last_updated": "2008-01-09",
        "status": "A",
        "authorized_official_last_name": "BEARDEN",
        "authorized_official_first_name": "BROOK",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "229-333-0014",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "GA",
            "license": "56527",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDCIARE PIN",
            "identifier": "DF3232",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Valdosta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 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.