Healthcare Provider Details

I. General information

NPI: 1871720078
Provider Name (Legal Business Name): WOMEN'S CENTER AT BROOKSIDE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/15/2009
Last Update Date: 11/20/2025
Certification Date: 11/20/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6675 HOLMES RD SUITE 300
KANSAS CITY MO
64131-1150
US

IV. Provider business mailing address

2000 HEALTH PARK DR # 0
BRENTWOOD TN
37027-4692
US

V. Phone/Fax

Practice location:
  • Phone: 816-333-5005
  • Fax: 816-333-6351
Mailing address:
  • Phone: 615-373-7406
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number
License Number State

VIII. Authorized Official

Name: BENJAMIN CALKINS
Title or Position: GROUP VICE PRESIDENT
Credential:
Phone: 615-372-6536