Brooksville Hma Physician Management LLC
NPI 1407586001ActiveOrganization· Surgery· Crystal River, FL
Surgery in Crystal River, Florida, registered in NPPES in June 2022. The authorized official on file is Jennifer L. Jackson, Senior Director Provider Enrollment.
Overview
| NPI | 1407586001 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jun 15, 2022 |
| Last updated in NPPES | Aug 11, 2022 |
| Certified by provider | Aug 11, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Surgery Primary | 208600000X | — | — |
| Internal Medicine | 207R00000X | — | — |
| Obstetrics & Gynecology | 207V00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 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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