Organization Active NPI

BW Neurosurgical Practice LLC

  • Neurological Surgery Physician
  • Homewood, AL
National Provider Identifier
1578430831
Registry record updated Sep 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
Legal business name
BW NEUROSURGICAL PRACTICE LLC
Practice address
513 Brookwood Blvd Ste 101
Homewood, AL 35209-6878
Phone
(205) 933-8981
Fax
(205) 930-0746
NPI assigned
Oct 21, 2025
Last updated
Sep 25, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2026

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

Authorized official

Name
Angelina Cedeno
Title
Sr. Director
Phone
(407) 481-7174

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X NU Primary
Spinal Cord Injury Medicine Physician 2081P0004X NU

Addresses

Primary practice location

513 Brookwood Blvd Ste 101
Homewood, AL 35209-6878

Mailing address

1335 Sligh Blvd FL 3
Orlando, FL 32806-3901

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260609000299 AL Part B Supplier - Clinic/Group Practice 9133690381 Receives reassigned benefits from 10 practitioners
Practice locations: Pinson, AL; Northport, AL; Homewood, AL; Birmingham, AL; Anniston, AL

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

731 Leighton Ave
Ste 300
Anniston, AL 36207
Phone (205) 236-4121

513 Brookwood Blvd
Ste 101
Homewood, AL 35209
Phone (205) 682-6056

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1761004800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1790294400000",
    "number": "1578430831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1335 SLIGH BLVD FL 3",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328063901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "513 BROOKWOOD BLVD STE 101",
            "city": "HOMEWOOD",
            "state": "AL",
            "postal_code": "352096878",
            "telephone_number": "205-933-8981",
            "fax_number": "205-930-0746"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BW NEUROSURGICAL PRACTICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-21",
        "last_updated": "2026-09-25",
        "certification_date": "2026-09-25",
        "status": "A",
        "authorized_official_last_name": "CEDENO",
        "authorized_official_first_name": "ANGELINA",
        "authorized_official_title_or_position": "SR. DIRECTOR",
        "authorized_official_telephone_number": "407-481-7174"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "2081P0004X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Spinal Cord Injury Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Homewood, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2026; 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.