Brookstone Surgical Center

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

106-459 Issued in GA

Legal business name

BROOKSTONE SURGICAL CENTER

Practice address

1000 Centre Brook Court
Columbus, GA 31904

Phone

(706) 576-4474

NPI assigned

Jan 27, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Richard C Bloom, MD

Title

Medical Director

Phone

(706) 653-7008

Specialties & licenses 1

Addresses

Other identifiers 1

Listed as

Brookstone Surgical CenterCCN 11C0001410

Medicare certification status

ActiveFrom the Provider of Services file

Practitioners 1

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

• Richard R Bloom, MD

  • Surgery Physician
  • Columbus, GA
  • NPI 1952481251
  NPD

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

{
    "created_epoch": "1296086400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1404864000000",
    "number": "1821394602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 CENTRE BROOK COURT",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "31904",
            "telephone_number": "706-576-4474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 CENTRE BROOK COURT",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "31904",
            "telephone_number": "706-576-4474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROOKSTONE SURGICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-27",
        "last_updated": "2014-07-09",
        "status": "A",
        "authorized_official_last_name": "BLOOM",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "706-653-7008",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "GA",
            "license": "106-459",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00476693H",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Micole Brooks, HP
• Ruthie Brooks, LPC
• Brookstone Ambulatory Surgery Center
• Brookstone Comprehensive Breast Care Center, LLC
• Brookstone Rheumatology Associates
• Brittney Broughton, LPN
• Ilyasah Ariana Brown-Bush
• Fantaysha Brown-Cabey
• Olivia Brown-Gillette, MSN, FNP-C
• Kimberly Brown-Gullatt, MD

• Ambulatory Surgical Clinic/Center in Columbus, GA
• Providers in Columbus, GA by specialty
• Ambulatory Surgical Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.