Organization Active NPI

Brain and Spine Center of Arizona PLC

  • Neurology Physician
  • Chandler, AZ
National Provider Identifier
1013372812
Registry record updated Jan 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
Legal business name
BRAIN AND SPINE CENTER OF ARIZONA PLC
Practice address
4045 W Chandler Blvd BLDG F
Chandler, AZ 85226-3732
Phone
(480) 917-3706
Fax
(480) 353-2066
NPI assigned
Dec 21, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Hemant Pandey, MDNPI 1275535403
Title
Owner
Phone
(480) 917-3706

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084N0400X Primary

Addresses

Primary practice location

4045 W Chandler Blvd BLDG F
Chandler, AZ 85226-3732

Mailing address

4045 W Chandler Blvd BLDG F
Chandler, AZ 85226-3732
Phone (480) 917-3706

Other practice location 1

1760 E Florence Blvd Ste 250
Casa Grande, AZ 85122-4769
Phone (480) 917-3706

National Provider Directory

National Provider Directory

Locations

4045 W Chandler Blvd
Bldg F
Chandler, AZ 85226
Phone (480) 494-2061

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1450656000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1579737600000",
    "number": "1013372812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4045 W CHANDLER BLVD BLDG F",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852263732",
            "telephone_number": "480-917-3706",
            "fax_number": "480-353-2066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4045 W CHANDLER BLVD BLDG F",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852263732",
            "telephone_number": "480-917-3706",
            "fax_number": "480-353-2066"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1760 E Florence Blvd Ste 250",
            "address_purpose": "LOCATION",
            "city": "Casa Grande",
            "state": "AZ",
            "postal_code": "851224769",
            "country_code": "US",
            "telephone_number": "480-917-3706",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BRAIN AND SPINE CENTER OF ARIZONA PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-21",
        "last_updated": "2020-01-23",
        "certification_date": "2020-01-23",
        "status": "A",
        "authorized_official_last_name": "PANDEY",
        "authorized_official_first_name": "HEMANT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-917-3706",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chandler, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.