BRUNSWICK SPECIALITY SERVICES – NPI #1881663227
Family Medicine

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

BRUNSWICK SPECIALITY SERVICES is a provider located in SUPPLY, NC. NPPES has assigned the NPI number 1881663227 to BRUNSWICK SPECIALITY SERVICES on March 17, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “BRUNSWICK SPECIALITY SERVICES” is a dba name, the actual legal business name for this organization is CHICORA MEDICAL GROUP PA. The primary taxonomy selected by this provider is 207Q00000X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine.

The NPI profile was previously updated about 18 years ago on Mar 11, 2008. 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 SPECIALITY SERVICES below.

NPI Profile for
CHICORA MEDICAL GROUP PA

NPI Number
1881663227
Enumeration Date

(more than 20 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
CHICORA MEDICAL GROUP PA
Doing Business As (dba): BRUNSWICK SPECIALITY SERVICES
Primary location
20 MEDICAL CAMPUS DR
STE 106B
SUPPLY, NC 28462
Phone: (910) 754-8600 Fax: (910) 755-2364
Mailing address
PO BOX 2528
SHALLOTTE, NC 28459
Phone: (910) 754-8600 Fax: (910) 755-2364
Organization Subpart
No
Authorized Official
BERNARD LANGSTON
PRESIDENT
Phone: (910) 754-8731
Updated
Identifiers

Identifiers for BRUNSWICK SPECIALITY SERVICES

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDNC5900666
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
207Q00000X
- Family Medicine (Primary)

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.