Organization Active NPI

Brunswick Surgery Center LLC

  • Ambulatory Surgical Clinic/Center
  • Leland, NC
National Provider Identifier
1366908469
Registry record updated Aug 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
BRUNSWICK SURGERY CENTER LLC
Practice address
1168 E Cutlar Xing Ste 101
Leland, NC 28451-6485
Phone
(910) 660-4600
Fax
(910) 899-9114
NPI assigned
Feb 13, 2019
Last updated
Aug 11, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2022

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

Authorized official

Name
Cynthia Skipper Burleson, RN
Title
Administrator
Phone
(910) 660-4601

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X NU Primary

Addresses

Primary practice location

1168 E Cutlar Xing Ste 101
Leland, NC 28451-6485

Mailing address

1168 E Cutlar Xing Ste 101
Leland, NC 28451-6485
Phone (910) 660-4600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200410000987 NC Part B Supplier - Ambulatory Surgical Center 8426487554 Practice locations: Leland, NC

Care Compare: Ambulatory surgical center

Medicare Care Compare
Listed as
Brunswick Surgery CenterCCN 34C0001212
Medicare certification status
ActiveFrom the Provider of Services file

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
34D2180556Brunswick Surgery Center, LLC1168 East Cutlar Crossing, Ste 101, Leland, NC 28451Certificate of waiverMar 16, 2028

National Provider Directory

National Provider Directory

Locations

1168 E Cutlar Crossing
Leland, NC 28451
Phone (910) 604-2414

1168 E Cutlar Crossing
Ste 101
Leland, NC 28451
Phone (910) 332-1550

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1550016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660176000000",
    "number": "1366908469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1168 E CUTLAR XING STE 101",
            "city": "LELAND",
            "state": "NC",
            "postal_code": "284516485",
            "telephone_number": "910-660-4600",
            "fax_number": "910-899-9114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1168 E CUTLAR XING STE 101",
            "city": "LELAND",
            "state": "NC",
            "postal_code": "284516485",
            "telephone_number": "910-660-4600",
            "fax_number": "910-899-9114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRUNSWICK SURGERY CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-13",
        "last_updated": "2022-08-11",
        "certification_date": "2022-08-11",
        "status": "A",
        "authorized_official_last_name": "BURLESON",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_middle_name": "SKIPPER",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "910-660-4601",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Leland, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2022; 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.