Organization Active NPI

Spine & Brain Group SC

  • Neurological Surgery Physician
  • Wausau, WI
National Provider Identifier
1073727277
Registry record updated May 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
Legal business name
SPINE & BRAIN GROUP SC
Practice address
505 S 24TH Ave Ste 200
Wausau, WI 54401-1706
Phone
(715) 396-3191
Fax
(715) 396-3191
NPI assigned
May 9, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 14, 2026

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

Authorized official

Name
Christopher Mackay, MDNPI 1538269402
Title
Owner
Phone
(715) 396-3191

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207T00000X Primary
Clinic/Center 261Q00000X

Addresses

Primary practice location

505 S 24TH Ave Ste 200
Wausau, WI 54401-1706

Mailing address

505 S 24TH Ave Ste 200
Wausau, WI 54401-1706
Phone (715) 396-3191

Other practice location 1

4501 Highway 66
Suite 200
Stevens Point, WI 54482
Phone (715) 396-3191

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070619000325 WI Part B Supplier - Clinic/Group Practice 4789783648 Receives reassigned benefits from 1 practitioner
Practice locations: Stevens Point, WI; Wausau, WI; Weston, WI

National Provider Directory

National Provider Directory

Locations

4501 State Highway 66
Ste 200
Stevens Point, WI 54482
Phone (715) 396-3191

505 S 24th Ave
Ste 200
Wausau, WI 54401
Phone (715) 396-3191

505 S 24th Ave
Wausau, WI 54401

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/26027/brand/1/csg/1/fhir/r4

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": "1178668800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1778716800000",
    "number": "1073727277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "505 S 24TH AVE STE 200",
            "city": "WAUSAU",
            "state": "WI",
            "postal_code": "544011706",
            "telephone_number": "715-396-3191",
            "fax_number": "715-396-3191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 S 24TH AVE STE 200",
            "city": "WAUSAU",
            "state": "WI",
            "postal_code": "544011706",
            "telephone_number": "715-396-3191",
            "fax_number": "715-396-3191"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4501 Highway 66",
            "address_2": "Suite 200",
            "address_purpose": "LOCATION",
            "city": "Stevens Point",
            "state": "WI",
            "postal_code": "54482",
            "country_code": "US",
            "telephone_number": "715-396-3191",
            "fax_number": "715-396-3191",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SPINE & BRAIN GROUP SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-09",
        "last_updated": "2026-05-14",
        "certification_date": "2026-05-14",
        "status": "A",
        "authorized_official_last_name": "MACKAY",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "715-396-3191",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Neurological Surgery",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wausau, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.