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THE CLINIC AT BRISSON DRUG
NPI 1487113668
Clinic/Center in Saint Pauls, NC

Active since March 18, 2019
217 W BROAD ST, SAINT PAULS, NC 28384(910) 241-3078 Get Directions Write a Review

NPPES record last updated: October 8, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Oct 8, 2020, Mar 18, 2019 (2 updates tracked since 2019).

About The Clinic At Brisson Drug NPPES

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

THE CLINIC AT BRISSON DRUG (NPI 1487113668) is a healthcare organization registered as a clinic/center in Saint Pauls, North Carolina and active in the NPI registry since March 2019. The organization lists Ella Hunt, Credentialing Specialist, as its authorized official.

NPPES Registry Identity

NPI1487113668
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameSOUTHEASTERN REGIONAL PHYSICIAN SERVICES
Location Address217 W BROAD STSaint Pauls, NC 28384-1533
Mailing Address2002 N Cedar St Ste BLumberton, NC 28358-3926 · (910) 272-3048 · Fax (910) 738-3764
Phone(910) 241-3078
Organization SubpartNo
Authorized OfficialElla HuntCredentialing Specialist · (910) 737-3147
Enumeration DateMarch 18, 2019
Last NPPES UpdateOctober 8, 20202 updates tracked since enumeration
NPPES CertifiedOctober 8, 2020
✔ NPI 1487113668 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
217 W BROAD ST, Saint Pauls, NC 28384
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Other Names 1

Doing Business AsThe Clinic At Brisson Drug

Other Providers at the Same Location NPPES 7

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

TAMMY TYNDALL LONG RPH
Pharmacist
217 W BROAD ST
SAINT PAULS, NC 28384
Robeson County (910) 865-4135
MRS. MARQUILLA AVILA-GALEANA FNP
Nurse Practitioner (Family)
217 W BROAD ST
SAINT PAULS, NC 28384
Robeson County (910) 241-3078
MATTHEW DANIEL HERRING FNP-C
Nurse Practitioner
217 W BROAD ST
SAINT PAULS, NC 28384
Robeson County (910) 241-3078
BRISSON DRUGS INC
Pharmacy (Community/Retail Pharmacy)
217 W BROAD ST
SAINT PAULS, NC 28384
Robeson County (910) 865-4135
LAUREN B CRIBB PHARMD
Pharmacist
217 W BROAD ST
SAINT PAULS, NC 28384
Robeson County (910) 865-4135
BRISSON DRUGS INC
Pharmacy (Long Term Care Pharmacy)
217 W BROAD ST
SAINT PAULS, NC 28384
Robeson County (910) 865-4135
DR. JOSEPH WILLIAMS PHARMD
Pharmacist
217 W BROAD ST
SAINT PAULS, NC 28384
Robeson County (910) 865-4135

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 Southeastern Regional Physician Services's NPI number?

The NPI number for Southeastern Regional Physician Services is 1487113668. It was assigned to this organization in the NPPES registry on March 18, 2019. The provider is doing business as The Clinic At Brisson Drug.

Where is Southeastern Regional Physician Services located?

Southeastern Regional Physician Services is located at 217 W Broad St, Saint Pauls, NC 28384. The listed phone number is (910) 241-3078.

What is Southeastern Regional Physician Services's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

When was this NPI record last updated?

The NPPES record for Southeastern Regional Physician Services was last updated on October 8, 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.