Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Brigham Anesthesia South LLC

Organization Anesthesiology Physician · NPI 1699769232

Brigham Anesthesia South LLC is an Anesthesiology Physician in Carbondale, Illinois. Registered with an NPI since 2005.

In the registry since
2005
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

405 W Jackson St Memorial Hospital Of Carbondale
Carbondale, IL 62901-1462
Phone: (618) 549-0721
Fax: (618) 351-4849
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Anesthesiology Physician (primary) Taxonomy 207L00000X

Record details

NPI number1699769232
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Gardner Kenny — Managing Member · (618) 457-5111
NPI enumeratedSeptember 9, 2005
Last updated in NPPESAugust 4, 2011
Mailing address35 Albany Rd, Suite C, Carbondale, IL 62903-7605

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