NPIMap

Organization Active NPI

Center for Advanced Brain and Spine Surgery LLC

  • Neurological Surgery Physician
  • Natick, MA
National Provider Identifier
1245510502
Registry record updated Aug 23, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
214058 Issued in MA
Legal business name
CENTER FOR ADVANCED BRAIN AND SPINE SURGERY LLC
Practice address
67 Union St
Natick, MA 01760-7700
Phone
(617) 971-8142
NPI assigned
Aug 18, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2011

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

Authorized official

Name
Dr. Sagun Tuli, MD
Title
Manager
Phone
(617) 584-1969

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207T00000X 214058 MA Primary

Addresses

Primary practice location

67 Union St
Natick, MA 01760-7700

Mailing address

67 Union Street
Natick, MA 01760
Phone (617) 971-8142

Other identifiers 1

IdentifierTypeStateIssuer
1629290564OtherMANPI TYPE 1

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1313625600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1314057600000",
    "number": "1245510502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "67 UNION STREET",
            "city": "NATICK",
            "state": "MA",
            "postal_code": "01760",
            "telephone_number": "617-971-8142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "67 UNION ST",
            "city": "NATICK",
            "state": "MA",
            "postal_code": "017607700",
            "telephone_number": "617-971-8142"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER FOR ADVANCED BRAIN AND SPINE SURGERY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-18",
        "last_updated": "2011-08-23",
        "status": "A",
        "authorized_official_last_name": "TULI",
        "authorized_official_first_name": "SAGUN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "617-584-1969",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Neurological Surgery",
            "state": "MA",
            "license": "214058",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI TYPE 1",
            "identifier": "1629290564",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Natick, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2011; 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.