Organization Active NPI

Brigantti Anesthesia & Spine Care

  • Community Health Clinic/Center
  • Jacksonville, FL
National Provider Identifier
1639681471
Registry record updated Nov 2, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health Clinic/CenterTaxonomy code 261QC1500X
Legal business name
BRIGANTTI ANESTHESIA & SPINE CARE
Practice address
1361 13TH Ave South Suite #210
Jacksonville, FL 32224
Phone
(407) 994-5909
NPI assigned
Nov 2, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2017

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

Authorized official

Name
Dr. Ruben Xavier Pagan, MDNPI 1205215472
Title
Ceo
Phone
(407) 994-5909

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Clinic/Center 261QC1500X FL Primary

Addresses

Primary practice location

1361 13TH Ave South Suite #210
Jacksonville, FL 32224

Mailing address

1361 13TH Ave S Ste 210
Jacksonville, FL 32250-3236
Phone (407) 994-5909

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": "1509580800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1509580800000",
    "number": "1639681471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1361 13TH AVE S STE 210",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322503236",
            "telephone_number": "407-994-5909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1361 13TH AVE SOUTH SUITE #210",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "32224",
            "telephone_number": "407-994-5909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIGANTTI ANESTHESIA & SPINE CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-02",
        "last_updated": "2017-11-02",
        "status": "A",
        "authorized_official_last_name": "PAGAN",
        "authorized_official_first_name": "RUBEN",
        "authorized_official_middle_name": "XAVIER",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "407-994-5909",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2017; 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.