Organization Active NPI

Neurological Surgical Assisting, LLC

  • Surgical Physician Assistant
  • Scottsdale, AZ
National Provider Identifier
1053667600
Registry record updated Aug 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
5122 Issued in AZ
Legal business name
NEUROLOGICAL SURGICAL ASSISTING, LLC
Practice address
5204 E Wallace Ave
Scottsdale, AZ 85254-1198
Phone
(480) 980-8206
Fax
(480) 281-5224
NPI assigned
Aug 1, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2024

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

Authorized official

Name
Bradley A Rief, PA-C
Title
Owner
Phone
(402) 770-8027

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician AssistantGroup: 193400000X SINGLE SPECIALTY GROUP 363AS0400X 5122 AZ Primary

Addresses

Primary practice location

5204 E Wallace Ave
Scottsdale, AZ 85254-1198

Mailing address

5204 E Wallace Ave
Scottsdale, AZ 85254-1198
Phone (402) 770-8027

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1343779200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724803200000",
    "number": "1053667600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5204 E WALLACE AVE",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852541198",
            "telephone_number": "402-770-8027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5204 E WALLACE AVE",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852541198",
            "telephone_number": "480-980-8206",
            "fax_number": "480-281-5224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEUROLOGICAL SURGICAL ASSISTING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-01",
        "last_updated": "2024-08-28",
        "certification_date": "2024-08-28",
        "status": "A",
        "authorized_official_last_name": "RIEF",
        "authorized_official_first_name": "BRADLEY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "402-770-8027",
        "authorized_official_credential": "PA-C"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physician Assistant, Surgical",
            "state": "AZ",
            "license": "5122",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2024; 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.