Bco Surgical Center, LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

A72166 Issued in CA

Legal business name

BCO SURGICAL CENTER, LLC

Practice address

400 S Sepulveda Blvd Ste 250
Manhattan Beach, CA 90266-6876

Phone

(310) 546-3461

NPI assigned

Apr 7, 2017

Last updated

Apr 7, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Bradley Thomas, M.D.NPI 1093822363

Title

Owner

Phone

(310) 546-3461

Specialties & licenses 1

Addresses

Practitioners 1

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.

• Bradley Macgregor Thomas, MD

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Manhattan Beach, CA
  • NPI 1093822363
  Authorized official Same address or phone

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

{
    "created_epoch": "1491523200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1491523200000",
    "number": "1356874127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 S SEPULVEDA BLVD STE 250",
            "city": "MANHATTAN BEACH",
            "state": "CA",
            "postal_code": "902666876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 S SEPULVEDA BLVD STE 250",
            "city": "MANHATTAN BEACH",
            "state": "CA",
            "postal_code": "902666876",
            "telephone_number": "310-546-3461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BCO SURGICAL CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-07",
        "last_updated": "2017-04-07",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "BRADLEY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "310-546-3461",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "CA",
            "license": "A72166",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Scott Barlow, DDS, MS
• Gabriel Barnard, MD
• Shelby Elizabeth Barnes
• Robert C. Bates, D.C.
• Keith Robin Bayan, M.D.
• Beach Cities Optometry, Inc.
• Beach Cities Orthopedics & Sports Medicine, Inc, a Medical Corporation
• Beach Cities Orthopedics and Sports Medicine
• Beach Cities Orthopedics Surgery Center, LLC
• Beach Cities Speech Therapy LLC

• Ambulatory Surgical Clinic/Center in Manhattan Beach, CA
• Providers in Manhattan Beach, CA by specialty
• Ambulatory Surgical Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 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.

Verify at the official NPI Registry.