Brawley Endoscopy & Surgery Med Ctr

Primary specialty

Endoscopy Clinic/CenterTaxonomy code 261QE0800X

License

090000507 Issued in CA

Legal business name

BRAWLEY ENDOSCOPY & SURGERY MED CTR

Practice address

1550 N Imperial Ave
Suite 3
El Centro, CA 92243-6304

Phone

(760) 352-3000

Fax

(760) 352-1985

NPI assigned

May 3, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Mahomed Suliman, M.D.NPI 1912994989

Title

Medical Director

Phone

(760) 352-3000

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• VALLEY ENDOSCOPY CENTER Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Listed as

Valley Endoscopy CenterCCN 05C0001326

Medicare certification status

ActiveFrom the Provider of Services file

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mahomed Essop Suliman, MD

  • Gastroenterology Physician
  • El Centro, CA
  • NPI 1912994989
  NPD Authorized official
• Esmeralda Gonzalez

  • Family Nurse Practitioner
  • El Centro, CA
  • NPI 1902771397
  NPD (past)
• Idrees Suliman, MD

  • Internal Medicine Physician
  • El Centro, CA
  • NPI 1598127748
  NPD (past)

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

{
    "created_epoch": "1146614400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1404864000000",
    "number": "1346208642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2601",
            "city": "EL CENTRO",
            "state": "CA",
            "postal_code": "922442601",
            "telephone_number": "760-352-3000",
            "fax_number": "760-352-1985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1550 N IMPERIAL AVE",
            "address_2": "SUITE 3",
            "city": "EL CENTRO",
            "state": "CA",
            "postal_code": "922436304",
            "telephone_number": "760-352-3000",
            "fax_number": "760-352-1985"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRAWLEY ENDOSCOPY & SURGERY MED CTR",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-03",
        "last_updated": "2014-07-09",
        "status": "A",
        "authorized_official_last_name": "SULIMAN",
        "authorized_official_first_name": "MAHOMED",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "760-352-3000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QE0800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Endoscopy",
            "state": "CA",
            "license": "090000507",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "090000507",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SUR01326F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "VALLEY ENDOSCOPY CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Branch Medical Clinic El Centro
• Aaron Joseph Bravo
• German Bravo Jr.
• Paola Bravo, RN
• Susan Vicuna Bravo, F.N.P.
• Mayra Patricia Bretado, NP
• Brian Donnelly Terrien
• Elma V Briceno, LCSW
• Michelle Briones I
• Brenda Guadalupe Briseno

• Endoscopy Clinic/Center in El Centro, CA
• Providers in El Centro, CA by specialty
• Endoscopy Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.