Organization Active NPI

Four Neuroscience Institute and Spine Centre LLC

  • Neurological Surgery Physician
  • Wilkes Barre, PA
National Provider Identifier
1568397453
Registry record updated Jul 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
Legal business name
FOUR NEUROSCIENCE INSTITUTE AND SPINE CENTRE LLC
Practice address
545 N River St Ste 130
Wilkes Barre, PA 18702-2600
Phone
(570) 552-2720
NPI assigned
Jun 15, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2026

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

Authorized official

Name
Dr. Dr Victor Chukwuemeka Udekwu, MD
Title
Ceo/Owner
Phone
(570) 552-2720

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207T00000X Primary

Addresses

Primary practice location

545 N River St Ste 130
Wilkes Barre, PA 18702-2600

Mailing address

545 N River St Ste 130
Wilkes Barre, PA 18702-2600
Phone (570) 552-2720

Other practice location 1

1157 Lackawanna Trl
Clarks Summit, PA 18411-9260
Phone (570) 552-2720

Other practice location 2

11 Gallagher Dr
Plains, PA 18705-1146
Phone (570) 552-2720

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1781481600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1782864000000",
    "number": "1568397453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "545 N RIVER ST STE 130",
            "city": "WILKES BARRE",
            "state": "PA",
            "postal_code": "187022600",
            "telephone_number": "570-552-2720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "545 N RIVER ST STE 130",
            "city": "WILKES BARRE",
            "state": "PA",
            "postal_code": "187022600",
            "telephone_number": "570-552-2720"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1157 Lackawanna Trl",
            "address_purpose": "LOCATION",
            "city": "Clarks Summit",
            "state": "PA",
            "postal_code": "184119260",
            "country_code": "US",
            "telephone_number": "570-552-2720",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11 Gallagher Dr",
            "address_purpose": "LOCATION",
            "city": "Plains",
            "state": "PA",
            "postal_code": "187051146",
            "country_code": "US",
            "telephone_number": "570-552-2720",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "FOUR NEUROSCIENCE INSTITUTE AND SPINE CENTRE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-06-15",
        "last_updated": "2026-07-01",
        "certification_date": "2026-07-01",
        "status": "A",
        "authorized_official_last_name": "UDEKWU",
        "authorized_official_first_name": "DR  VICTOR",
        "authorized_official_middle_name": "CHUKWUEMEKA",
        "authorized_official_title_or_position": "CEO/OWNER",
        "authorized_official_telephone_number": "570-552-2720",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Neurological Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilkes Barre, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2026; 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.