OrganizationActive
Brunswick Surgical Associates, PLLC
NPI 1144206822 · Vascular Surgery Physician · Supply, NC
Provider details
- NPI number
- 1144206822
- Entity type
- Organization
- Primary specialty
- Vascular Surgery PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Mark Tillotson, Partner(910) 575-4606
- License
- 103114 (NC)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
6 Doctors Cir
Suite 1
Supply, NC 28462-4089
Phone: (910) 575-4606
Fax: (910) 575-4609
Street-level locationGet directions
Mailing address
6 Doctors Cir
Supply, NC 28462-4089
Registry dates
- Enumerated
- 2005-12-15
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.