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BROOKHAVEN INTERNAL MEDICINE, P.A.
NPI 1699884528
Internal Medicine in Brookhaven, MS

Active since August 30, 2006CLIA 25D0878508 · Waiver
527 SILVER CROSS DR, BROOKHAVEN, MS 39601(601) 835-0507(601) 835-2766 Get Directions Write a Review

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

About Brookhaven Internal Medicine, P.a. NPPES

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

BROOKHAVEN INTERNAL MEDICINE, P.A. (NPI 1699884528) is a healthcare organization registered as an internal medicine in Brookhaven, Mississippi and active in the NPI registry since August 2006. The organization holds a CLIA Waiver certificate valid through May 17, 2028 and lists Diane M Price, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1699884528
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameBROOKHAVEN INTERNAL MEDICINE, P.A.
Location Address527 SILVER CROSS DRBrookhaven, MS 39601-2388
Mailing AddressPo Box 3730Brookhaven, MS 39603-7730 · (601) 835-0507 · Fax (601) 835-2766
Phone(601) 835-0507
Fax(601) 835-2766
Organization SubpartNo
Authorized OfficialDiane M PriceOffice Manager · (601) 835-0507
Enumeration DateAugust 30, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1699884528 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
527 SILVER CROSS DR, Brookhaven, MS 39601
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Other Identifiers 1

Medicaid09014373MS

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 of Waiver 25D0878508

Brookhaven Internal Medicine PA · Brookhaven, MS
Active · expires May 17, 2028
CLIA Number25D0878508
Laboratory TypePhysician Office
Certificate Effective DateMay 18, 2026
Certificate Expiration DateMay 17, 2028
Laboratory DirectorBryan S. Calcote
Laboratory Phone(601) 835-0507
Laboratory LocationBrookhaven Internal Medicine PA527 Silver Cross Drive, Brookhaven, MS 39601
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

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

BRYAN S CALCOTE M.D.
Internal Medicine
527 SILVER CROSS DR
BROOKHAVEN, MS 39601
Lincoln County (601) 835-0507
DENA W. JACKSON, M.D.
Internal Medicine
527 SILVER CROSS DR
BROOKHAVEN, MS 39601
Lincoln County (601) 835-0507
CHARLES A KERGOSIEN M.D.
Internal Medicine
527 SILVER CROSS DR
BROOKHAVEN, MS 39601
Lincoln County (601) 835-0507

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 Brookhaven Internal Medicine, P.A.'s NPI number?

The NPI number for Brookhaven Internal Medicine, P.A. is 1699884528. It was assigned to this organization in the NPPES registry on August 30, 2006.

Where is Brookhaven Internal Medicine, P.A. located?

Brookhaven Internal Medicine, P.A. is located at 527 Silver Cross Dr, Brookhaven, MS 39601. The listed phone number is (601) 835-0507.

What is Brookhaven Internal Medicine, P.A.'s specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Does Brookhaven Internal Medicine, P.A. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 25D0878508) is associated with this NPI, valid through May 17, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Brookhaven Internal Medicine, P.A. 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.