Active NPI
Surgical Services of America, PC
- Surgery Physician
- Franklin, TN
National Provider Identifier
1275064057
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- MD0000025546
- Legal business name
- SURGICAL SERVICES OF AMERICA, PC
- Practice address
- 103 Forrest Crossing Blvd Ste 204
Franklin, TN 37064-5453 - Phone
- (615) 512-6136
- Fax
- (615) 591-5124
- NPI assigned
- Mar 23, 2017
- 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
- Dr. Bernard Lerris Burgess Jr., M.D.
- Title
- Medical Director
- Phone
- (615) 512-6136
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | MD0000025546 | TN | Primary |
Addresses
Primary practice location
103 Forrest Crossing Blvd Ste 204
Franklin, TN 37064-5453
Mailing address
103 Forrest Crossing Blvd Ste 204
Franklin, TN 37064-5453
Phone (615) 512-6136
National Provider Directory
National Provider DirectoryLocations
103 Forrest Crossing Blvd
Ste 204
Franklin, TN 37064
Phone (615) 512-6136
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1490227200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1493337600000",
"number": "1275064057",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "103 FORREST CROSSING BLVD STE 204",
"city": "FRANKLIN",
"state": "TN",
"postal_code": "370645453",
"telephone_number": "615-512-6136",
"fax_number": "615-591-5124"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "103 FORREST CROSSING BLVD STE 204",
"city": "FRANKLIN",
"state": "TN",
"postal_code": "370645453",
"telephone_number": "615-512-6136",
"fax_number": "615-591-5124"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SURGICAL SERVICES OF AMERICA, PC",
"organizational_subpart": "NO",
"enumeration_date": "2017-03-23",
"last_updated": "2017-04-28",
"status": "A",
"authorized_official_last_name": "BURGESS",
"authorized_official_first_name": "BERNARD",
"authorized_official_middle_name": "LERRIS",
"authorized_official_title_or_position": "MEDICAL DIRECTOR",
"authorized_official_telephone_number": "615-512-6136",
"authorized_official_name_prefix": "Dr.",
"authorized_official_name_suffix": "Jr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Surgery",
"state": "TN",
"license": "MD0000025546",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Franklin, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.