Active NPI
Premier Spine Institute, PLLC
- Orthopaedic Surgery of the Spine Physician
- Houston, TX
National Provider Identifier
1336408475
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery of the Spine Physician
- License
- M3339
- Legal business name
- PREMIER SPINE INSTITUTE, PLLC
- Practice address
- 411 Lantern Bend Dr Ste 100a
Houston, TX 77090-2833 - Phone
- (281) 719-9505
- Fax
- (281) 719-0715
- NPI assigned
- May 10, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Bonaventure Ngu, M.D.
- Title
- Ceo / Owner
- Phone
- (281) 719-9505
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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery of the Spine Physician | 207XS0117X | M3339 | TX | Primary |
Addresses
Primary practice location
411 Lantern Bend Dr Ste 100a
Houston, TX 77090-2833
Mailing address
411 Lantern Bend Dr Ste 100a
Houston, TX 77090-2833
Phone (281) 719-9505
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| TXB157223 | Other | TX | PTAN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Orthopaedic Surgery of the Spine Physician
- Houston, TX
- NPI 1487624870
-
- Family Nurse Practitioner
- Houston, TX
- NPI 1841001617
-
- Surgical Assistant
- The Woodlands, TX
- NPI 1912180068
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1336608000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1748995200000",
"number": "1336408475",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "411 LANTERN BEND DR STE 100A",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770902833",
"telephone_number": "281-719-9505",
"fax_number": "281-719-0715"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "411 LANTERN BEND DR STE 100A",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770902833",
"telephone_number": "281-719-9505",
"fax_number": "281-719-0715"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PREMIER SPINE INSTITUTE, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2012-05-10",
"last_updated": "2025-06-04",
"certification_date": "2025-06-04",
"status": "A",
"authorized_official_last_name": "NGU",
"authorized_official_first_name": "BONAVENTURE",
"authorized_official_title_or_position": "CEO / OWNER",
"authorized_official_telephone_number": "281-719-9505",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207XS0117X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
"state": "TX",
"license": "M3339",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PTAN",
"identifier": "TXB157223",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 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.