NPIMap

Organization Active NPI

Neurospinal Associates PA

  • Neurological Surgery Physician
  • Bradenton, FL
National Provider Identifier
1427135714
Registry record updated Apr 23, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
Legal business name
NEUROSPINAL ASSOCIATES PA
Practice address
200 3Rd Ave W
Suite 200
Bradenton, FL 34205-8626
Phone
(941) 794-3118
Fax
(941) 782-2017
NPI assigned
Nov 1, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2010

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

Authorized official

Name
Linda Reeves
Title
Bookkeeper/Personnel Supervisor
Phone
(941) 794-3118

Specialties & licenses 1

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

Addresses

Primary practice location

200 3Rd Ave W
Suite 200
Bradenton, FL 34205-8626

Mailing address

200 3Rd Ave W
Suite 200
Bradenton, FL 34205-8626
Phone (941) 794-3118

Other identifiers 5

IdentifierTypeStateIssuer
264536000MedicaidFL
264534300MedicaidFL
264535100MedicaidFL
264537800MedicaidFL
264537801MedicaidFL

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041023000146 FL Part B Supplier - Clinic/Group Practice 1052372919 Receives reassigned benefits from 6 practitioners
Practice locations: Bradenton, FL; Sun City Center, FL

National Provider Directory

National Provider Directory

Locations

4051 Upper Creek Dr
Ste 100
Sun City Center, FL 33573
Phone (813) 436-6777

Practitioners & affiliated clinicians

Practitioners 6

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": "1162339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1271980800000",
    "number": "1427135714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 3RD AVE W",
            "address_2": "SUITE 200",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342058626",
            "telephone_number": "941-794-3118",
            "fax_number": "941-782-2017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 3RD AVE W",
            "address_2": "SUITE 200",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342058626",
            "telephone_number": "941-794-3118",
            "fax_number": "941-782-2017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEUROSPINAL ASSOCIATES PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-01",
        "last_updated": "2010-04-23",
        "status": "A",
        "authorized_official_last_name": "REEVES",
        "authorized_official_first_name": "LINDA",
        "authorized_official_title_or_position": "BOOKKEEPER/PERSONNEL SUPERVISOR",
        "authorized_official_telephone_number": "941-794-3118"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Neurological Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "264536000",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "264534300",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "264535100",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "264537800",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "264537801",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bradenton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2010; 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.