Brookview Womens Center PLLC

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

Legal business name

BROOKVIEW WOMENS CENTER PLLC

Practice address

3333 Brookview Hills Blvd
Suite 105
Winston Salem, NC 27103-5661

Phone

(336) 765-1464

Fax

(336) 760-2492

NPI assigned

Aug 25, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Donald Edward Pittaway Sr., M.D.

Title

Owner

Phone

(336) 765-1464

Specialties & licenses 1

Addresses

Other identifiers 5

Other names 1

• CAROLINA GYNECOLOGIC ONCOLOGY Former legal business name

Locations

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

{
    "created_epoch": "1156464000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1287532800000",
    "number": "1598872269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3333 BROOKVIEW HILLS BLVD",
            "address_2": "SUITE 105",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271035661",
            "telephone_number": "336-765-1464",
            "fax_number": "336-760-2492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3333 BROOKVIEW HILLS BLVD",
            "address_2": "SUITE 105",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271035661",
            "telephone_number": "336-765-1464",
            "fax_number": "336-760-2492"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROOKVIEW WOMENS CENTER PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-25",
        "last_updated": "2010-10-20",
        "status": "A",
        "authorized_official_last_name": "PITTAWAY",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "336-765-1464",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Sr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "NC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "0248J",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "74-07470",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDCOST",
            "identifier": "81281",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PARTNERS NATIONAL HEALTH",
            "identifier": "458",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8967838",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CAROLINA GYNECOLOGIC ONCOLOGY",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Susan Lynn Brooks, M.DIV.
• Tissue Lavette Brooks
• Vanessa Brooks, DPT, ATC
• Whitney Hammer Brooks, PAC
• Shelby Brookshire, PHARMD
• William Carroll Broome, D.M.D.
• Justin Kenneth Brooten, MD
• Tamara Kathleen Brothers, CNM
• Jacob Brotzman, DMD
• Charlotte W Broughton, DDS

• Medical Specialty Clinic/Center in Winston Salem, NC
• Providers in Winston Salem, NC by specialty
• Medical Specialty Clinic/Center in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2010; 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.