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BROOKSIDE WOMENS MEDICAL CENTER
NPI 1316004674
Specialist in Austin, TX

Active since January 03, 2007CLIA 45D0674230 · Microscopy
1902 S I H 35, AUSTIN, TX 78704(512) 443-9595 Get Directions Write a Review

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

About Brookside Womens Medical Center NPPES

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

BROOKSIDE WOMENS MEDICAL CENTER (NPI 1316004674) is a healthcare organization registered as a specialist in Austin, Texas and active in the NPI registry since January 2007. The organization holds a CLIA Microscopy certificate valid through August 15, 2026 and lists Lendol Davis, Clinical Director, as its authorized official.

NPPES Registry Identity

NPI1316004674
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameBROOKSIDE WOMENS MEDICAL CENTER
Location Address1902 S I H 35Austin, TX 78704-3628
Mailing Address1902 S I H 35Austin, TX 78704-3628
Phone(512) 443-9595
Organization SubpartNo
Authorized OfficialLendol DavisClinical Director · (512) 443-9595
Enumeration DateJanuary 3, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1316004674 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
1902 S I H 35, Austin, TX 78704
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 45D0674230

Brookside Women's Medical Services D/B/A Austin Women's Health Center · Austin, TX
Active · expires Aug 15, 2026
CLIA Number45D0674230
Laboratory TypePhysician Office
Certificate Effective DateAugust 16, 2024
Certificate Expiration DateAugust 15, 2026
Laboratory DirectorLendol L. Davis
Laboratory Phone(512) 443-9595
Laboratory LocationBrookside Women's Medical Services D/B/A Austin Women's Health Center1902 S Ih 35 Frontage Rd, Austin, TX 78704
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

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.

MRS. VIRGINIA KATHRYN RIDOUT APN
Nurse Practitioner
1902 S I H 35
AUSTIN, TX 78704
Travis County (512) 443-9595
BROOKSIDE WOMENS MEDICAL SERVICES, PA
Specialist
1902 S I H 35
AUSTIN, TX 78704
Travis County (512) 443-9595

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 Womens Medical Center's NPI number?

The NPI number for Brookside Womens Medical Center is 1316004674. It was assigned to this organization in the NPPES registry on January 3, 2007.

Where is Brookside Womens Medical Center located?

Brookside Womens Medical Center is located at 1902 S I H 35, Austin, TX 78704. The listed phone number is (512) 443-9595.

What is Brookside Womens Medical Center's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Does Brookside Womens Medical Center hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 45D0674230) is associated with this NPI, valid through August 15, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Brookside Womens Medical Center 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.