Organization Active NPI

North Texas Brain and Spine Center

  • Neurological Surgery Physician
  • Prosper, TX
National Provider Identifier
1235958760
Registry record updated Oct 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
Legal business name
NORTH TEXAS BRAIN AND SPINE CENTER
Practice address
2381 E University Dr Ste 50
Prosper, TX 75078-2390
Phone
(469) 557-5434
NPI assigned
Oct 10, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2024

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

Authorized official

Name
Mrs. Victoria Grindheim-Gagne
Title
Cao
Phone
(469) 919-1043

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207T00000X Primary

Addresses

Primary practice location

2381 E University Dr Ste 50
Prosper, TX 75078-2390

Mailing address

4261 E University Dr # 30-276
Prosper, TX 75078-3645
Phone (469) 557-5434

Other practice location 1

5575 Frisco Square Blvd Ste 220
Frisco, TX 75034-3317
Phone (469) 557-5434

National Provider Directory

National Provider Directory

Locations

2381 E University Dr
Ste 50
Prosper, TX 75078
Phone (469) 557-5434

4261 E University Dr
#30276
Prosper, TX 75078

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/18425/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": "1728518400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728518400000",
    "number": "1235958760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4261 E UNIVERSITY DR # 30-276",
            "city": "PROSPER",
            "state": "TX",
            "postal_code": "750783645",
            "telephone_number": "469-557-5434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2381 E UNIVERSITY DR STE 50",
            "city": "PROSPER",
            "state": "TX",
            "postal_code": "750782390",
            "telephone_number": "469-557-5434"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5575 Frisco Square Blvd Ste 220",
            "address_purpose": "LOCATION",
            "city": "Frisco",
            "state": "TX",
            "postal_code": "750343317",
            "country_code": "US",
            "telephone_number": "469-557-5434",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "NORTH TEXAS BRAIN AND SPINE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-10",
        "last_updated": "2024-10-10",
        "certification_date": "2024-10-10",
        "status": "A",
        "authorized_official_last_name": "GRINDHEIM-GAGNE",
        "authorized_official_first_name": "VICTORIA",
        "authorized_official_title_or_position": "CAO",
        "authorized_official_telephone_number": "469-919-1043",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Neurological Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Prosper, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 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.