NPIMap

Individual provider Active NPI

Bratislav M Velimirovic, MD

  • Neurological Surgery Physician
  • El Paso, TX
National Provider Identifier
1477533081
Registry record updated Nov 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
P4000 Issued in TX
Practice address
1400 George Dieter Dr Ste 100
El Paso, TX 79936-7654
Phone
(915) 247-3150
Fax
(915) 703-3745
NPI assigned
Jan 19, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X 036113344 IL
Vascular Neurology Physician 2084V0102X P4000 TX
Vascular & Interventional Radiology Physician 2085R0204X P4000 TX
Neurological Surgery Physician 207T00000X P4000 TX Primary

Addresses

Primary practice location

1400 George Dieter Dr Ste 100
El Paso, TX 79936-7654

Mailing address

1400 George Dieter Dr Ste 100
El Paso, TX 79936-7654
Phone (915) 247-3150

Other identifiers 1

IdentifierTypeStateIssuer
0C97618OtherMIBCBSM

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130311000029 TX Practitioner - Neurosurgery 7810918679 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurosurgery
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
El Paso Physical Therapy Specialists LLCGroup PAC ID 1355762774, 106 clinicians
El Paso Therapy Services, Inc.Group PAC ID 4587626106, 99 clinicians

Practice addresses (Care Compare)

11331 James Watt Dr
Suite 300
El Paso, TX 79936-6414
Phone (915) 247-3150

6151 Dew Dr
El Paso, TX 79912-3912
Phone (915) 581-9606

Hospital & facility affiliations

  • The Hospitals of Providence - East Campus Hospital, El Paso, TX, CCN 670047
  • Sierra Medical Center Hospital, El Paso, TX, CCN 450668

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion90
Laminectomy or laminotomy (partial removal of spine bones)1-10
Removal of tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
036113344ILMDNeurological Surgery Physician
P4000TXMDVascular Neurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Elite OB-GYN Services of El Paso, PLLC PastSince Jul 1, 2013 Accepting new patients
Presence Service Corporation Past Accepting new patients
Presence Central and Suburban Hospitals Network Neurological Surgery PastSince May 2, 2016 Accepting new patients
Mercy Medical Center - Aurora LLC Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: bratislav.velimirovic@direct.myhealthep.org
  • FHIR API: https://fhir4.healow.com/fhir/r4/EDECCD/Endpoint/EDECCD
  • Direct secure messaging: 2370-mvelimirovic-bratislav@direct.leadingreach.com

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1137628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731542400000",
    "number": "1477533081",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 GEORGE DIETER DR STE 100",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799367654",
            "telephone_number": "915-247-3150",
            "fax_number": "915-703-3745"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 GEORGE DIETER DR STE 100",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799367654",
            "telephone_number": "915-247-3150",
            "fax_number": "915-703-3745"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VELIMIROVIC",
        "first_name": "BRATISLAV",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-19",
        "last_updated": "2024-11-14",
        "certification_date": "2024-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "IL",
            "license": "036113344",
            "primary": false
        },
        {
            "code": "2084V0102X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Vascular Neurology",
            "state": "TX",
            "license": "P4000",
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "TX",
            "license": "P4000",
            "primary": false
        },
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "TX",
            "license": "P4000",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM",
            "identifier": "0C97618",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in El Paso, TX

Sources for this page

Verify at the official NPI Registry.