Organization Active NPI

Performance Spine and Brain, LLC

  • Neurological Surgery Physician
  • Alexandria, LA
National Provider Identifier
1104586916
Registry record updated May 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
Legal business name
PERFORMANCE SPINE AND BRAIN, LLC
Practice address
233 Pecan Park Ave Ste D
Alexandria, LA 71303-3362
Phone
(800) 238-0827
Fax
(318) 219-5221
NPI assigned
Dec 20, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 15, 2025

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

Authorized official

Name
Dr. Paul V Birinyi, MDNPI 1851603906
Title
Ceo
Phone
(800) 238-0827

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 PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207T00000X Primary

Addresses

Primary practice location

233 Pecan Park Ave Ste D
Alexandria, LA 71303-3362

Mailing address

PO Box 11758
Alexandria, LA 71315-1758
Phone (800) 238-0827

Other practice location 1

1904 W Pinhook Rd Ste 107
Lafayette, LA 70508-8310
Phone (800) 238-0827

Other practice location 2

410 N 7th St
West Monroe, LA 71291-4108
Phone (800) 238-0827

Other practice location 3

2426 Jake Dr Ste 4
Opelousas, LA 70570-7709
Phone (800) 238-0827

Other identifiers 1

IdentifierTypeStateIssuer
2483978MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20211223000061 LA Part B Supplier - Clinic/Group Practice 7810388006 Receives reassigned benefits from 1 practitioner
Practice locations: Opelousas, LA
O20250803000012 LA DME Supplier - Physician - Neurosurgery 7810388006 Practice locations: Alexandria, LA

National Provider Directory

National Provider Directory

Locations

1904 W Pinhook Rd
Ste 107
Lafayette, LA 70508
Phone (800) 238-0827

2426 Jake Dr
Ste 4
Opelousas, LA 70570
Phone (800) 238-0827

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": "1639958400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747267200000",
    "number": "1104586916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 11758",
            "city": "ALEXANDRIA",
            "state": "LA",
            "postal_code": "713151758",
            "telephone_number": "800-238-0827",
            "fax_number": "318-219-5221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "233 PECAN PARK AVE STE D",
            "city": "ALEXANDRIA",
            "state": "LA",
            "postal_code": "713033362",
            "telephone_number": "800-238-0827",
            "fax_number": "318-219-5221"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1904 W Pinhook Rd Ste 107",
            "address_purpose": "LOCATION",
            "city": "Lafayette",
            "state": "LA",
            "postal_code": "705088310",
            "country_code": "US",
            "telephone_number": "800-238-0827",
            "fax_number": "318-219-5221",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "410 N 7th St",
            "address_purpose": "LOCATION",
            "city": "West Monroe",
            "state": "LA",
            "postal_code": "712914108",
            "country_code": "US",
            "telephone_number": "800-238-0827",
            "fax_number": "318-219-5221",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2426 Jake Dr Ste 4",
            "address_purpose": "LOCATION",
            "city": "Opelousas",
            "state": "LA",
            "postal_code": "705707709",
            "country_code": "US",
            "telephone_number": "800-238-0827",
            "fax_number": "318-219-5221",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PERFORMANCE SPINE AND BRAIN, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-20",
        "last_updated": "2025-05-15",
        "certification_date": "2025-05-15",
        "status": "A",
        "authorized_official_last_name": "BIRINYI",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "800-238-0827",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Neurological Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2483978",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Alexandria, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2025; 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.