Brooksville Hma Physician Management LLC
NPI 1134847163ActiveOrganization· Surgery· Crystal River, FL
Surgery in Crystal River, Florida, registered in NPPES in August 2022. The authorized official on file is Jennifer L. Jackson, Sr. Director Provider Enrollment.
Overview
| NPI | 1134847163 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Aug 16, 2022 |
| Last updated in NPPES | Aug 16, 2022 |
| Certified by provider | Aug 15, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Surgery Primary | 208600000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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