Provider Demographics
NPI:1861246910
Name:TENSEGRITY PHYSICIANS AND SURGEONS, PLLC
Entity type:Organization
Organization Name:TENSEGRITY PHYSICIANS AND SURGEONS, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MATTHEW
Authorized Official - Middle Name:SCOTT
Authorized Official - Last Name:BRASHIER
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:601-480-4746
Mailing Address - Street 1:15094 LORRAINE RD
Mailing Address - Street 2:
Mailing Address - City:BILOXI
Mailing Address - State:MS
Mailing Address - Zip Code:39532-9697
Mailing Address - Country:US
Mailing Address - Phone:601-480-4746
Mailing Address - Fax:
Practice Address - Street 1:147 REYNOIR ST STE 101
Practice Address - Street 2:
Practice Address - City:BILOXI
Practice Address - State:MS
Practice Address - Zip Code:39530-4119
Practice Address - Country:US
Practice Address - Phone:601-480-4746
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-15
Last Update Date:2024-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208600000XAllopathic & Osteopathic PhysiciansSurgeryGroup - Multi-Specialty
No207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty