Brunswick Medical LLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

BRUNSWICK MEDICAL LLC

Practice address

1111 Glynco Pkwy Ste 10
Brunswick, GA 31525-7930

Phone

(912) 574-4313

NPI assigned

Oct 2, 2023

Last updated

Mar 15, 2024By 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

Dr. Jeuslyn Chandler, MDNPI 1356680359

Title

Medical Director

Phone

(305) 794-0970

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

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

CLIA laboratory certificates

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.

• Jeuslyn Chandler, M.D.

  • Family Medicine Physician
  • Brunswick, GA
  • NPI 1356680359
  Medicare reassignment Care Compare group NPD Authorized official
• Brenda Joyce Poythress, NP-C

  • Family Medicine Physician
  • Jesup, GA
  • NPI 1225686975

  Multi-Specialty

  Medicare reassignment Care Compare group NPD
• Bentley Lauren Klein, NP

  • Nurse Practitioner
  • Roswell, GA
  • NPI 1689223851
  Medicare reassignment NPD

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

{
    "created_epoch": "1696204800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710460800000",
    "number": "1639959299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 GLYNCO PKWY",
            "address_2": "BUILDING 1 SUITE 10",
            "city": "BRUNSWICK",
            "state": "GA",
            "postal_code": "315252726",
            "telephone_number": "912-574-4313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 GLYNCO PKWY STE 10",
            "city": "BRUNSWICK",
            "state": "GA",
            "postal_code": "315257930",
            "telephone_number": "912-574-4313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRUNSWICK MEDICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-02",
        "last_updated": "2024-03-15",
        "certification_date": "2024-03-15",
        "status": "A",
        "authorized_official_last_name": "CHANDLER",
        "authorized_official_first_name": "JEUSLYN",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "305-794-0970",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katelyn Bruno, RBT
• Mardell Z Brunson
• Brunswick Addiction Associates, LLC (Treatment Center of Brunswick)
• Brunswick Dentisty LLC (Brunswick Smiles)
• Brunswick Endoscopy Center, LLC
• Brunswick Medical Supply Inc
• Brunswick Orthotics & Prosthetics, Inc.
• Brunswick Pain Treatment Center, LLC
• Brunswick Urgent Care, LLC
• Justin Andrew Bryan, DPT

• Primary Care Clinic/Center in Brunswick, GA
• Providers in Brunswick, GA by specialty
• Primary Care Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2024; 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.