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1366072159 NPI number — BROOKWELL HEALTH LLC

NPI Number: 1366072159
Health Care Provider/Practitioner: BROOKWELL HEALTH LLC

Information about “1366072159” NPI (BROOKWELL HEALTH LLC) exists in 1366072159 in HTML format HTML  |  1366072159 in plain Text format TXT  |  1366072159 in PDF (Portable Document Format) PDF  |  1366072159 in an XML format XML  formats.

NPI Number : 1366072159 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1366072159",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "BROOKWELL HEALTH LLC",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": "6",
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "2825 W ANDREW JOHNSON HWY",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "MORRISTOWN",
    "MailingAddressStateName": "TN",
    "MailingAddressPostalCode": "37814-3216",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "423-307-5757",
    "MailingAddressFaxNumber": "844-309-6361",
    "FirstLinePracticeLocationAddress": "2825 W ANDREW JOHNSON HWY",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "MORRISTOWN",
    "PracticeLocationAddressStateName": "TN",
    "PracticeLocationAddressPostalCode": "37814-3216",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "423-307-5757",
    "PracticeLocationAddressFaxNumber": "844-309-6361",
    "EnumerationDate": "01/21/2020",
    "LastUpdateDate": "05/29/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "HUNTSMAN",
    "AuthorizedOfficialFirstName": "JOSEPH",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "OWNER",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": "II",
    "AuthorizedOfficialCredential": "MBA, MA",
    "AuthorizedOfficialTelephoneNumber": "512-926-5717",
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "261QM1300X",
          "TaxonomyName": "Multi-Specialty Clinic/Center",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "363L00000X",
          "TaxonomyName": "Nurse Practitioner",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": {
      "HealthcareProviderTaxonomyGroup": {
        "HealthcareProviderTaxonomyGroupName": "193200000X MULTI-SPECIALTY GROUP",
        "HealthcareProviderTaxonomyGroupDescription": "Multi-Specialty Group - A business group of one or more individual practitioners, who practice with different areas of specialization."
      }
    }
  }
}
                
            

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