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BRUNSWICK SURGICAL ASSOCIATES, PLLC
NPI 1144206822
Surgery - Vascular Surgery in Supply, NC

Active since December 15, 2005
6 DOCTORS CIR, SUITE 1, SUPPLY, NC 28462(910) 575-4606(910) 575-4609 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Brunswick Surgical Associates, Pllc NPPES

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

BRUNSWICK SURGICAL ASSOCIATES, PLLC (NPI 1144206822) is a healthcare organization registered as a vascular surgery in Supply, North Carolina and active in the NPI registry since December 2005. The organization lists Mark Tillotson, Partner, as its authorized official.

NPPES Registry Identity

NPI1144206822
Entity TypeOrganization
Primary Taxonomy2086S0129X
Legal Business NameBRUNSWICK SURGICAL ASSOCIATES, PLLC
Location Address6 DOCTORS CIR, SUITE 1Supply, NC 28462-4089
Mailing Address6 Doctors Cir, Suite 1Supply, NC 28462-4089 · (910) 575-4606 · Fax (910) 575-4609
Phone(910) 575-4606
Fax(910) 575-4609
Organization SubpartNo
Authorized OfficialMark TillotsonPartner · (910) 575-4606
Enumeration DateDecember 15, 2005
Last NPPES UpdateAugust 22, 2020
✔ NPI 1144206822 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgery · Vascular SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0129X
License✔ Licensed in NC · 103114
Definition
A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
6 DOCTORS CIR, Supply, NC 28462
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Other Identifiers 1

Medicaid89015K7NC

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

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. JONATHAN BLAIR LAMPHIER MD
Internal Medicine (Gastroenterology)
6 DOCTORS CIR, STE 5
SUPPLY, NC 28462
Brunswick County (910) 754-5988
AUDREY MAVIS WATSON PA-C
Physician Assistant
6 DOCTORS CIR
SUPPLY, NC 28462
Brunswick County (540) 958-8048

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 Brunswick Surgical Associates, PLLC's NPI number?

The NPI number for Brunswick Surgical Associates, PLLC is 1144206822. It was assigned to this organization in the NPPES registry on December 15, 2005.

Where is Brunswick Surgical Associates, PLLC located?

Brunswick Surgical Associates, PLLC is located at 6 Doctors Cir Suite 1, Supply, NC 28462. The listed phone number is (910) 575-4606.

What is Brunswick Surgical Associates, PLLC's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Vascular Surgery, with taxonomy code 2086S0129X.

When was this NPI record last updated?

The NPPES record for Brunswick Surgical Associates, PLLC was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.