Organization Active NPI

Piedmont Spine and Neurosurgical Group, P.a.

  • Neurological Surgery Physician
  • Anderson, SC
National Provider Identifier
1356449359
Registry record updated Nov 13, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
Legal business name
PIEDMONT SPINE AND NEUROSURGICAL GROUP, P.A.
Practice address
109 Montgomery Dr
Anderson, SC 29621-3333
Phone
(864) 224-5700
Fax
(864) 226-0680
NPI assigned
Sep 21, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2009

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

Authorized official

Name
Dr. Michael N Bucci, M.D.
Title
Partner
Phone
(864) 224-5700

Specialties & licenses 1

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

Addresses

Primary practice location

109 Montgomery Dr
Anderson, SC 29621-3333

Mailing address

109 Montgomery Dr
Anderson, SC 29621-3333
Phone (864) 224-5700

Other identifiers 10

IdentifierTypeStateIssuer
1073561171OtherSCGARY W. MORSE, PA-C INDIVIDUAL NPI
1508853094OtherSCDR. RUSSELL INDIVIDUAL NPI
1073561171OtherSCGARY W. MORSE, PA INDIVIDUAL NPI #
1821057530OtherSCD. MARK MELTON INDIVIDUAL NPI
MPA967MedicaidSC
1093727653OtherSCCHRISTOPHER JOHNSON, PA-C INDIVIDUAL NPI
1194737726OtherSCCHRISTIE B. MINA, MD INDIVIDUAL NPI
CI4666OtherSCMEDICARE RAILROAD
1568470904OtherSCMICHAEL BUCCI, MD INDIVIDUAL NPI
1649282245OtherSCAARON C. MACDONALD, MD INDIVIDUAL NPI

National Provider Directory

National Provider Directory

Locations

3 Saint Francis Dr
Ste 490
Greenville, SC 29601
Phone (864) 220-4263

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

NPI Registry JSON

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

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1258070400000",
    "number": "1356449359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 MONTGOMERY DR",
            "city": "ANDERSON",
            "state": "SC",
            "postal_code": "296213333",
            "telephone_number": "864-224-5700",
            "fax_number": "864-226-0680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 MONTGOMERY DR",
            "city": "ANDERSON",
            "state": "SC",
            "postal_code": "296213333",
            "telephone_number": "864-224-5700",
            "fax_number": "864-226-0680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PIEDMONT SPINE AND NEUROSURGICAL GROUP, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-21",
        "last_updated": "2009-11-13",
        "status": "A",
        "authorized_official_last_name": "BUCCI",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "864-224-5700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Neurological Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GARY W. MORSE, PA-C INDIVIDUAL NPI",
            "identifier": "1073561171",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DR. RUSSELL INDIVIDUAL NPI",
            "identifier": "1508853094",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GARY W. MORSE, PA INDIVIDUAL NPI #",
            "identifier": "1073561171",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "D. MARK MELTON INDIVIDUAL NPI",
            "identifier": "1821057530",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "MPA967",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHRISTOPHER JOHNSON, PA-C INDIVIDUAL NPI",
            "identifier": "1093727653",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHRISTIE B. MINA, MD INDIVIDUAL NPI",
            "identifier": "1194737726",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "CI4666",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MICHAEL BUCCI, MD INDIVIDUAL NPI",
            "identifier": "1568470904",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AARON C. MACDONALD, MD INDIVIDUAL NPI",
            "identifier": "1649282245",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Anderson, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2009; 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.