Arizona Brain and Spine Trauma PLLC

Primary specialty

Neurological Surgery PhysicianTaxonomy code 207T00000X

License

44305 Issued in AZ

Legal business name

ARIZONA BRAIN AND SPINE TRAUMA PLLC

Practice address

9250 N 3Rd St
Suite 300
Phoenix, AZ 85020-2437

Phone

(602) 266-2927

Fax

(602) 266-2927

NPI assigned

Apr 21, 2011

Organization subpart

No

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

Authorized official

Name

Igor R. Yusupov, MD

Title

Managing Member

Phone

(602) 663-7346

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1303344000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1309996800000",
    "number": "1285925404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9250 N 3RD ST",
            "address_2": "SUITE 300",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850202437",
            "telephone_number": "602-266-2927",
            "fax_number": "602-266-2927"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9250 N 3RD ST",
            "address_2": "SUITE 300",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850202437",
            "telephone_number": "602-266-2927",
            "fax_number": "602-266-2927"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARIZONA BRAIN AND SPINE TRAUMA PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-21",
        "last_updated": "2011-07-07",
        "status": "A",
        "authorized_official_last_name": "YUSUPOV",
        "authorized_official_first_name": "IGOR",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "602-663-7346",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Neurological Surgery",
            "state": "AZ",
            "license": "44305",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Arizona Bleeding Disorders Health and Wellness Center
• Arizona Bluesky Counseling, LLC
• Arizona Bone & Joint Surgeons LTD
• Arizona Bone Joint and Sports Medicine Center (Performance Medicine Institute)
• Arizona Brain and Spine Center PLLC
• Arizona Business & Career Development LLC
• Arizona Cardiac Sonographers LLC
• Arizona Cardiology Group PC
• Arizona Cardiovascular Center PLC
• Arizona Cardiovascular Institute Professional Corporation

• Neurological Surgery Physician in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Neurological Surgery Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 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.