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BROOKHAVEN INTERNAL MEDICINE, P.A.

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Company Details

Name: BROOKHAVEN INTERNAL MEDICINE, P.A.
Jurisdiction: MISSISSIPPI
Business Type: Profit Corporation
Status: Good Standing
Effective Date: 12 Jun 1996 (29 years ago)
Business ID: 631047
ZIP code: 39601
County: Lincoln
State of Incorporation: MISSISSIPPI
Principal Office Address: 527 Silver Cross Dr, 527 Silver Cross DrBrookhaven, MS 39601

Agent

Name Role Address
Calcote, Bryan Agent 527 Silver Cross Drive, Brookhaven, MS 39601

Incorporator

Name Role Address
Jane W. Meynardie Incorporator 401 East Capitol Street Ste 600, Jackson, MS 39201

Director

Name Role Address
Bryan Calcote MD Director 527 Silver Cross Drive, Brookhaven, MS 39601
Bryan Calcote Director 527 Silver Cross Drive, Brookhaven, MS 39601

President

Name Role Address
Bryan Calcote MD President 527 Silver Cross Drive, Brookhaven, MS 39601

Secretary

Name Role Address
Bryan Calcote Secretary 527 Silver Cross Drive, Brookhaven, MS 39601

Treasurer

Name Role Address
Bryan Calcote Treasurer 527 Silver Cross Drive, Brookhaven, MS 39601

National Provider Identifier

NPI Number:
1699884528

Authorized Person:

Name:
DIANE M PRICE
Role:
OFFICE MANAGER
Phone:

Taxonomy:

Selected Taxonomy:
207R00000X - Internal Medicine Physician
Is Primary:
Yes

Contacts:

Fax:
6018352766

Form 5500 Series

Employer Identification Number (EIN):
640877856
Plan Year:
2023
Number Of Participants:
12
Sponsors Telephone Number:
Plan Year:
2022
Number Of Participants:
12
Sponsors Telephone Number:
Plan Year:
2021
Number Of Participants:
14
Sponsors Telephone Number:
Plan Year:
2020
Number Of Participants:
15
Sponsors Telephone Number:
Plan Year:
2019
Number Of Participants:
14
Sponsors Telephone Number:

Filings

Type Status Filed Date Description
Annual Report Filed 2025-02-04 Annual Report For BROOKHAVEN INTERNAL MEDICINE, P.A.
Annual Report Filed 2024-01-30 Annual Report For BROOKHAVEN INTERNAL MEDICINE, P.A.
Annual Report Filed 2023-03-07 Annual Report For BROOKHAVEN INTERNAL MEDICINE, P.A.
Annual Report Filed 2022-04-04 Annual Report For BROOKHAVEN INTERNAL MEDICINE, P.A.
Annual Report Filed 2021-03-30 Annual Report For BROOKHAVEN INTERNAL MEDICINE, P.A.
Annual Report Filed 2020-03-25 Annual Report For BROOKHAVEN INTERNAL MEDICINE, P.A.
Annual Report Filed 2019-03-04 Annual Report For BROOKHAVEN INTERNAL MEDICINE, P.A.
Annual Report Filed 2018-02-26 Annual Report For BROOKHAVEN INTERNAL MEDICINE, P.A.
Annual Report Filed 2017-03-03 Annual Report For BROOKHAVEN INTERNAL MEDICINE, P.A.
Annual Report Filed 2016-04-05 Annual Report For BROOKHAVEN INTERNAL MEDICINE, P.A.

USAspending Awards / Financial Assistance

Date:
2020-04-09
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO AID SMALL BUSINESSES IN MAINTAINING WORK FORCE DURING COVID-19 PANDEMIC.
Obligated Amount:
0.00
Face Value Of Loan:
101100.00
Total Face Value Of Loan:
101100.00

Paycheck Protection Program

Date Approved:
2020-04-09
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Initial Approval Amount:
101100
Current Approval Amount:
101100
Race:
White
Ethnicity:
Unknown/NotStated
Gender:
Male Owned
Veteran:
Unanswered
Forgiveness Amount:
101785.23

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Date of last update: 23 Apr 2025

Sources: Mississippi Secretary of State