NPIMap

Organization Active NPI

Neurosurgical Associates Medical Group Inc

  • Neurological Surgery Physician
  • Fresno, CA
National Provider Identifier
1083725220
Registry record updated Dec 9, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
Legal business name
NEUROSURGICAL ASSOCIATES MEDICAL GROUP INC
Practice address
7130 N Sharon Ave
#100
Fresno, CA 93720-3386
Phone
(559) 449-1100
Fax
(559) 449-1174
NPI assigned
Aug 31, 2006
Last updated
Dec 9, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2009

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

Authorized official

Name
Dr. Adam Jason Brant, MDNPI 1811998248
Title
President
Phone
(559) 449-1100

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
Neurological Surgery Physician 207T00000X Primary

Addresses

Primary practice location

7130 N Sharon Ave
#100
Fresno, CA 93720-3386

Mailing address

7130 N Sharon Ave
#100
Fresno, CA 93720-3386
Phone (559) 449-1100

Other identifiers 4

IdentifierTypeStateIssuer
195946200OtherCAUSDL
CS6929OtherCARAILROAD MEDICARE
GR008950MedicaidCA
5367510001OtherCAMEDICARE DMEPOS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20050407001325 CA Part B Supplier - Clinic/Group Practice 9032166319 Receives reassigned benefits from 8 practitioners
Practice locations: Fresno, CA
O20100930068001 CA DME Supplier - Physician - Neurosurgery 9032166319 Practice locations: Fresno, CA

National Provider Directory

National Provider Directory

Locations

7130 N Sharon Ave
Ste 101
Fresno, CA 93720
Phone (559) 436-8606

7152 N Sharon Ave
Fresno, CA 93720
Phone (559) 447-4898

Practitioners & affiliated clinicians

Practitioners 12

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1260316800000",
    "number": "1083725220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7130 N SHARON AVE",
            "address_2": "#100",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937203386",
            "telephone_number": "559-449-1100",
            "fax_number": "559-449-1174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7130 N SHARON AVE",
            "address_2": "#100",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937203386",
            "telephone_number": "559-449-1100",
            "fax_number": "559-449-1174"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEUROSURGICAL ASSOCIATES MEDICAL GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2009-12-09",
        "status": "A",
        "authorized_official_last_name": "BRANT",
        "authorized_official_first_name": "ADAM",
        "authorized_official_middle_name": "JASON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "559-449-1100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "USDL",
            "identifier": "195946200",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CS6929",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR008950",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE DMEPOS",
            "identifier": "5367510001",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresno, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2009; 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.