Delaware Brain and Spine Center of Excellence, LLC

Primary specialty

Neurological Surgery PhysicianTaxonomy code 207T00000X

Legal business name

DELAWARE BRAIN AND SPINE CENTER OF EXCELLENCE, LLC

Practice address

200 Banning St Ste 200
Dover, DE 19904-3487

Phone

(302) 922-3806

Fax

(302) 450-1655

NPI assigned

Aug 3, 2020

Last updated

Aug 3, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

James Dean Mills, MD

Title

Sole Member

Phone

(302) 922-3806

Specialties & licenses 1

Addresses

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/22131/brand/1/csg/1/fhir/r4

Practitioners 1

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.

• Coyle S Connolly, D.O. PA

  • Dermatology Physician
  • Linwood, NJ
  • NPI 1386601433
  NPD (past)

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

{
    "created_epoch": "1596412800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1596412800000",
    "number": "1639789852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "602 QUAIL RUN",
            "city": "CAMDEN WYOMING",
            "state": "DE",
            "postal_code": "199349514",
            "telephone_number": "302-900-1507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 BANNING ST STE 200",
            "city": "DOVER",
            "state": "DE",
            "postal_code": "199043487",
            "telephone_number": "302-922-3806",
            "fax_number": "302-450-1655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DELAWARE BRAIN AND SPINE CENTER OF EXCELLENCE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-03",
        "last_updated": "2020-08-03",
        "certification_date": "2020-08-03",
        "status": "A",
        "authorized_official_last_name": "MILLS",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "DEAN",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "302-922-3806",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patricia Deer, FNP
• Brandee Danielle Deibel, OTR/L
• Raymond Dela Calzada, IDMT
• Amy Elizabeth Delaney, MSPT
• Delaware Bay Therapy Services LLC (Rising Sails)
• Delaware Coastal Anesthesia LLC
• Delaware Community Home Services LLC
• Delaware Community Home Services LLC
• Delaware Counseling Services, LLC
• Delaware CVS Pharmacy LLC (CVS Pharmacy # 02069)

• Neurological Surgery Physician in Dover, DE
• Providers in Dover, DE by specialty
• Neurological Surgery Physician in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2020; 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.