Brotman Medical Center, Inc.

Primary specialty

Substance Use Disorder Rehabilitation Hospital UnitTaxonomy code 276400000X

License

930000022 Issued in CA

Legal business name

BROTMAN MEDICAL CENTER, INC.

Practice address

3828 Delmas Ter
Culver City, CA 90232-2713

Phone

(310) 836-7000

Fax

(310) 202-4186

NPI assigned

Nov 28, 2011

Organization subpart

No

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

Authorized official

Name

Mr. Garrison Grawoig Delee, JD

Title

Corporate Counsel

Phone

(310) 836-7000

Specialties & licenses 1

Addresses

Other names 1

• Brotman Medical Center Doing business as

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

{
    "created_epoch": "1322438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1322438400000",
    "number": "1679840169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3828 DELMAS TER",
            "city": "CULVER CITY",
            "state": "CA",
            "postal_code": "902322713",
            "telephone_number": "310-836-7000",
            "fax_number": "310-202-4186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3828 DELMAS TER",
            "city": "CULVER CITY",
            "state": "CA",
            "postal_code": "902322713",
            "telephone_number": "310-836-7000",
            "fax_number": "310-202-4186"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROTMAN MEDICAL CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-28",
        "last_updated": "2011-11-28",
        "status": "A",
        "authorized_official_last_name": "DELEE",
        "authorized_official_first_name": "GARRISON",
        "authorized_official_middle_name": "GRAWOIG",
        "authorized_official_title_or_position": "CORPORATE COUNSEL",
        "authorized_official_telephone_number": "310-836-7000",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "JD"
    },
    "taxonomies": [
        {
            "code": "276400000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation, Substance Use Disorder Unit",
            "state": "CA",
            "license": "930000022",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Brotman Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Dawn Brooks
• India Sheree Brooks
• Brotman Medical Center, Inc
• Brotman Medical Center, Inc.
• Brotman Medical Center, Inc.
• Brotman Medical Center, Inc.
• Lauren Broussard
• Adrianna Rose Brown
• Brionna Brown
• Candice Monique Brown

• Substance Use Disorder Rehabilitation Hospital Unit in Culver City, CA
• Providers in Culver City, CA by specialty
• Substance Use Disorder Rehabilitation Hospital Unit in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2011; 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.