Organization Active NPI

Elite Neurospine & Vascular Institute LLC

  • Neurological Surgery Physician
  • Dothan, AL
National Provider Identifier
1326920117
Registry record updated Sep 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
Legal business name
ELITE NEUROSPINE & VASCULAR INSTITUTE LLC
Practice address
1118 Ross Clark Cir Ste 704
Dothan, AL 36301-3030
Phone
(334) 824-3098
Fax
(334) 761-2449
NPI assigned
Jul 23, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2025

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

Authorized official

Name
Dr. Joshua Sterling Bentley, D.O.NPI 1740523869
Title
Owner
Phone
(334) 824-3098

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207T00000X Primary
Medical Specialty Clinic/Center 261QM2500X

Addresses

Primary practice location

1118 Ross Clark Cir Ste 704
Dothan, AL 36301-3030

Mailing address

1118 Ross Clark Cir Ste 704
Dothan, AL 36301-3030
Phone (334) 824-3098

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20251017002378 AL Part B Supplier - Clinic/Group Practice 8123515582 Receives reassigned benefits from 3 practitioners
Practice locations: Dothan, AL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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": "1753228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758672000000",
    "number": "1326920117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1118 ROSS CLARK CIR STE 704",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "363013030",
            "telephone_number": "334-824-3098",
            "fax_number": "334-761-2449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1118 ROSS CLARK CIR STE 704",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "363013030",
            "telephone_number": "334-824-3098",
            "fax_number": "334-761-2449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE NEUROSPINE & VASCULAR INSTITUTE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-23",
        "last_updated": "2025-09-24",
        "certification_date": "2025-09-24",
        "status": "A",
        "authorized_official_last_name": "BENTLEY",
        "authorized_official_first_name": "JOSHUA",
        "authorized_official_middle_name": "STERLING",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "334-824-3098",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Neurological Surgery",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dothan, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 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.