BRUNSWICK MEDICAL LLC – NPI #1639959299
Clinic/Center

BRUNSWICK MEDICAL LLC is an AHC clinic located in BRUNSWICK, GA. NPPES has assigned the NPI number 1639959299 to BRUNSWICK MEDICAL LLC on October 02, 2023. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 261QP2300X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Primary Care

The NPI profile was previously updated about 2 years ago on Mar 15, 2024. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for BRUNSWICK MEDICAL LLC below.

NPI Profile for
BRUNSWICK MEDICAL LLC

NPI Number
1639959299
Enumeration Date

(more than 2 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
BRUNSWICK MEDICAL LLC
Primary location
1111 GLYNCO PKWY STE 10
BRUNSWICK, GA 31525-7930
Phone: (912) 574-4313 Fax:
Mailing address
1111 GLYNCO PKWY
BUILDING 1 SUITE 10
BRUNSWICK, GA 31525-2726
Phone: (912) 574-4313 Fax:
Organization Subpart
No
Authorized Official
JEUSLYN CHANDLER
MEDICAL DIRECTOR
Phone: (305) 794-0970
Updated
Certification Date
Mar 15, 2024

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QP2300X
- Clinic/Center / Primary Care (Primary)
207Q00000X
- Family Medicine

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.