BROOKHAVEN SURGERY CLINIC P.A.
NPI 1760578736
Surgery in Brookhaven, MS
About Brookhaven Surgery Clinic P.a. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BROOKHAVEN SURGERY CLINIC P.A. (NPI 1760578736) is a healthcare organization registered as a surgery in Brookhaven, Mississippi and active in the NPI registry since October 2006. The organization lists David Vance Carner, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 3
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Brookhaven Surgery Clinic P.a. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Brookhaven Surgery Clinic P.A., which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. They are listed nearest first.
Clinicians, nearest first (2)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Surgery Clinic P.A.'s NPI number?
The NPI number for Brookhaven Surgery Clinic P.A. is 1760578736. It was assigned to this organization in the NPPES registry on October 5, 2006.
Where is Brookhaven Surgery Clinic P.A. located?
Brookhaven Surgery Clinic P.A. is located at 1036 D A Biglane Dr, Brookhaven, MS 39601. The listed phone number is (601) 835-1182.
What is Brookhaven Surgery Clinic P.A.'s specialty?
The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.
Is Brookhaven Surgery Clinic P.A. enrolled in Medicare?
Yes. Brookhaven Surgery Clinic P.A. is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Brookhaven Surgery Clinic P.A.?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Brookhaven Surgery Clinic P.A., in General Surgery and Nurse Practitioner. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 2 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Brookhaven Surgery Clinic P.A. accept?
Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter of Alabama and Ambetter of Tennessee and 1 other insurer list Brookhaven Surgery Clinic P.A. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Brookhaven Surgery Clinic P.A. was last updated on May 20, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.
# Brookhaven Surgery Clinic P.a. · NPI 1760578736
Surgery organization in Brookhaven, Mississippi. Organization record, active in the CMS NPPES registry since October 5, 2006.
## Identity
- **NPI:** 1760578736 (Entity type: Organization)
- **Enumerated:** October 5, 2006
- **Primary specialty:** Surgery · taxonomy 208600000X
- **Organization subpart:** No
- **Authorized official:** David Carner, PRESIDENT
## Practice location
- **Address:** 1036 D A BIGLANE DR, Brookhaven, MS 39601-2331
- **Phone:** (601) 835-1182 · **Fax:** (601) 835-1546
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 2 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: General Surgery (1), Nurse Practitioner (1); 2 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 20, 2008
- **Other identifiers:** Other CM2256 (MS); Medicaid 09013622 (MS); Medicare PIN C00767 (MS)
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Source: [NPI Profile](https://npiprofile.com/npi/1760578736) · Data from the CMS NPPES public registry.