Brookhaven Renal Systems, LLC

Primary specialty

End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X

Legal business name

BROOKHAVEN RENAL SYSTEMS, LLC

Doing business as

Brookhaven Dialysis Center

Practice address

2695 Buford Hwy NE
Atlanta, GA 30324-3278

Phone

(404) 454-2519

NPI assigned

Jul 15, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Michael A Akintade, R.N

Title

Chief Operating Officer

Phone

(404) 454-2519

Specialties & licenses 1

Addresses

Other names 1

• Brookhaven Dialysis Center Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jacqueline Hall Cooper, NP

  • Adult Health Nurse Practitioner
  • East Point, GA
  • NPI 1629335906
  NPD (past)

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

{
    "created_epoch": "1373846400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1390521600000",
    "number": "1811338114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1354 CLEVELAND AVE",
            "city": "EAST POINT",
            "state": "GA",
            "postal_code": "303443431",
            "telephone_number": "404-454-2519"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2695 BUFORD HWY NE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303243278",
            "telephone_number": "404-454-2519"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROOKHAVEN RENAL SYSTEMS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-15",
        "last_updated": "2014-01-24",
        "status": "A",
        "authorized_official_last_name": "AKINTADE",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "404-454-2519",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "R.N"
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Brookhaven Dialysis Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Brook of Serenity Therapy, LLC
• Stuart G Brooker, MD
• Brookhaven Dental Care, P.C.
• Brookhaven Eye Care Inc.
• Brookhaven Family Dentistry, P. C.
• Brookhaven Speech,LLC
• Brooks Medical Group, Inc.
• Juanita Annette Brooks-Warren, M. D.
• Addie Laforest Brooks, MSHA, RDN, CSO, LD
• Bianca Brooks, PHD

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Atlanta, GA
• Providers in Atlanta, GA by specialty
• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2014; 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.