BRUNETTE BASTIEN MEDICAL SERVICES LLC
NPI 1114652476
Clinic/Center - Mental Health (Including Community Mental Health Center) in Cape Coral, FL
- Organization
- Clinic/Center
- Mental Health (Including Community Menta...
About BRUNETTE BASTIEN MEDICAL SERVICES LLC
This page provides the complete NPI Profile along with additional information for Brunette Bastien Medical Services Llc, a provider established in Cape Coral, Florida operating as a Clinic/center, focusing in mental health (including community mental health center) . The healthcare provider is registered in the NPI registry with number 1114652476 assigned on July 2022. The practitioner's primary taxonomy code is 261QM0801X. The provider is registered as an organization and their NPI record was last updated 3 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Ms. Brunette Bastien (Owner)
- NPI
- 1114652476 Verify this NPI
- Provider Name
- BRUNETTE BASTIEN MEDICAL SERVICES LLC
- Entity Type
- Organization
- Location Address
- 1425 VISCAYA PKWY STE 101 CAPE CORAL, FL 33990
- Location Phone
- (239) 293-5829
- Location Fax
- (239) 236-1200
- Mailing Address
- 1425 VISCAYA PKWY STE 101 CAPE CORAL, FL 33990
- Mailing Phone
- (239) 919-4851
- Mailing Fax
- (239) 236-1200
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 07-20-2022
- Last Update Date
- 02-01-2023
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Clinic/Center Mental Health (Including Community Mental Health Center)
- Taxonomy Code
- 261QM0801X
- Type
- Ambulatory Health Care Facilities
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 363LP0808X | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner |
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
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Other Providers at the Same Location
The following 6 providers are registered at the same or a nearby location.
CAPE CORAL, FL 33990
CAPE CORAL, FL 33990
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1114652476, enumerated as an "organization" on July 20, 2022.
The provider is located at 1425 VISCAYA PKWY STE 101 CAPE CORAL, FL 33990 and the phone number is (239) 293-5829.
Clinic/Center with taxonomy code 261QM0801X and a focus in Mental Health (Including Community Mental Health Center).
