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BROOKSIDE MEDICAL CENTER PLLC
NPI 1083637078
Family Medicine in Collegedale, TN

Active since July 25, 2006
5121 OOLTEWAH RINGGOLD ROAD, SUITE G, COLLEGEDALE, TN 37315(423) 238-0033 Get Directions Write a Review

NPPES record last updated: November 30, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Brookside Medical Center Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BROOKSIDE MEDICAL CENTER PLLC (NPI 1083637078) is a healthcare organization registered as a family medicine in Collegedale, Tennessee and active in the NPI registry since July 2006. The organization lists Shirley Spears, Administrator, as its authorized official.

NPPES Registry Identity

NPI1083637078
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameBROOKSIDE MEDICAL CENTER PLLC
Location Address5121 OOLTEWAH RINGGOLD ROAD, SUITE GCollegedale, TN 37315
Mailing AddressPo Box 793Ooltewah, TN 37363-0793 · (423) 238-0033
Phone(423) 238-0033
Organization SubpartNo
Authorized OfficialShirley SpearsAdministrator · (423) 238-0033
Enumeration DateJuly 25, 2006
Last NPPES UpdateNovember 30, 2009
✔ NPI 1083637078 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
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.
5121 OOLTEWAH RINGGOLD ROAD, Collegedale, TN 37315
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Other Identifiers 2

Medicaid3735307TN
Medicare PIN3735307TN

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Brookside Medical Center PLLC's NPI number?

The NPI number for Brookside Medical Center PLLC is 1083637078. It was assigned to this organization in the NPPES registry on July 25, 2006.

Where is Brookside Medical Center PLLC located?

Brookside Medical Center PLLC is located at 5121 Ooltewah Ringgold Road Suite G, Collegedale, TN 37315. The listed phone number is (423) 238-0033.

What is Brookside Medical Center PLLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Brookside Medical Center PLLC was last updated on November 30, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.