NPIMap

Organization Active NPI

Center for Neurosurgery(Glickman) PLLC

Doing business as Center for Neurological Surgery America

  • Neurological Surgery Physician
  • Miramar Beach, FL
National Provider Identifier
1144849738
Registry record updated Mar 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
Legal business name
CENTER FOR NEUROSURGERY(GLICKMAN) PLLC
Doing business as
Center for Neurological Surgery America
Center for Neurosurgery Las Vegas
Practice address
42 Business Centre Dr Unit 310
Miramar Beach, FL 32550-6995
Phone
(850) 803-2672
Fax
(850) 600-2675
NPI assigned
Apr 13, 2020
Last updated
Mar 19, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2024

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

Authorized official

Name
Scott Gary Glickman
Title
Managing Partner
Phone
(850) 803-2672

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X NU Primary

Addresses

Primary practice location

42 Business Centre Dr Unit 310
Miramar Beach, FL 32550-6995

Mailing address

42 Business Centre Dr Unit 310
Miramar Beach, FL 32550-6995
Phone (850) 803-2672

Other practice location 1

12909 Panama City Beach Pkwy
Panama City Beach, FL 32407-2717
Phone (850) 803-2672

Other names 2

  • Center for Neurological Surgery America Doing business as
  • Center for Neurosurgery Las Vegas Doing business as

National Provider Directory

National Provider Directory

Locations

42 Business Centre Dr
Unit 310
Miramar Beach, FL 32550
Phone (850) 353-2719

861 Coronado Center Dr
Ste 211
Henderson, NV 89052
Phone (702) 800-4530

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": "1586736000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710806400000",
    "number": "1144849738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42 BUSINESS CENTRE DR UNIT 310",
            "city": "MIRAMAR BEACH",
            "state": "FL",
            "postal_code": "325506995",
            "telephone_number": "850-803-2672",
            "fax_number": "850-600-2675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42 BUSINESS CENTRE DR UNIT 310",
            "city": "MIRAMAR BEACH",
            "state": "FL",
            "postal_code": "325506995",
            "telephone_number": "850-803-2672",
            "fax_number": "850-600-2675"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12909 Panama City Beach Pkwy",
            "address_purpose": "LOCATION",
            "city": "Panama City Beach",
            "state": "FL",
            "postal_code": "324072717",
            "country_code": "US",
            "telephone_number": "850-803-2672",
            "fax_number": "850-600-2675",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CENTER FOR NEUROSURGERY(GLICKMAN) PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-13",
        "last_updated": "2024-03-19",
        "certification_date": "2024-03-19",
        "status": "A",
        "authorized_official_last_name": "GLICKMAN",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "GARY",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "850-803-2672"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Center for Neurological Surgery America",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Center for Neurosurgery Las Vegas",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Miramar Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 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.