Brookhaven Medical Clinic PC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

MD0000006842 Issued in TN

Legal business name

BROOKHAVEN MEDICAL CLINIC PC

Practice address

711 Brookhave Circle West
Memphis, TN 38117

Phone

(901) 767-3030

Fax

(901) 767-3929

NPI assigned

Dec 4, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Sandy Bastin Holmes, MD

Title

Office Manager

Phone

(901) 767-3030

Specialties & licenses 1

Addresses

Other names 1

• Perry D Holmes MD Other name

Locations

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

{
    "created_epoch": "1165190400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1366510679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "711 BROOKHAVE CIRCLE WEST",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "38117",
            "telephone_number": "901-767-3030",
            "fax_number": "901-767-3929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "711 BROOKHAVE CIRCLE WEST",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "38117",
            "telephone_number": "901-767-3030",
            "fax_number": "901-767-3929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROOKHAVEN MEDICAL CLINIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HOLMES",
        "authorized_official_first_name": "SANDY",
        "authorized_official_middle_name": "BASTIN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "901-767-3030",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "TN",
            "license": "MD0000006842",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Perry D Holmes MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Howard Bromley, MD
• Alberto Broniscer, MD
• Natasha Bronson-Woods, NP
• Michael Stuart Bronstein, M.D.
• Brookhaven Chiropractic Center, PLLC
• Charita K Brookins, DPH
• Patricia Ann Brookins, COTA
• Christie Brooks, M.D.
• Claude M Brooks, BS
• Elissa Brooks

• Internal Medicine Physician in Memphis, TN
• Providers in Memphis, TN by specialty
• Internal Medicine Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.