Active NPI
Palm Beach Neurosurgery LLC
- Neurological Surgery Physician
- Atlantis, FL
National Provider Identifier
1649218561
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurological Surgery Physician
- Legal business name
- PALM BEACH NEUROSURGERY LLC
- Practice address
- 5507 S Congress Ave
Suite 150
Atlantis, FL 33462-1139 - Phone
- (561) 433-4444
- Fax
- (561) 433-8877
- NPI assigned
- Jun 3, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Gary Duncan
- Title
- Vice President
- Phone
- (561) 433-4444
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurological Surgery Physician | 207T00000X | Primary |
Addresses
Primary practice location
5507 S Congress Ave
Suite 150
Atlantis, FL 33462-1139
Mailing address
5507 S Congress Ave
Suite 150
Atlantis, FL 33462-1139
Phone (561) 433-4444
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 74721 | Other | BCBS OF FL |
National Provider Directory
National Provider DirectoryLocations
1640 S Congress Ave
Ste 104
Palm Springs, FL 33461
Phone (561) 433-4444
Practitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Neurological Surgery Physician
- Lake Worth, FL
- NPI 1972598464
-
- Neurology Physician
- Atlantis, FL
- NPI 1801866587
-
- Physician Assistant
- Atlantis, FL
- NPI 1407864143
-
- Adult Health Nurse Practitioner
- Hollywood, FL
- NPI 1578528329
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149292800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1188345600000",
"number": "1649218561",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5507 S CONGRESS AVE",
"address_2": "SUITE 150",
"city": "ATLANTIS",
"state": "FL",
"postal_code": "334621139",
"telephone_number": "561-433-4444",
"fax_number": "561-433-8877"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5507 S CONGRESS AVE",
"address_2": "SUITE 150",
"city": "ATLANTIS",
"state": "FL",
"postal_code": "334621139",
"telephone_number": "561-433-4444",
"fax_number": "561-433-8877"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PALM BEACH NEUROSURGERY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-03",
"last_updated": "2007-08-29",
"status": "A",
"authorized_official_last_name": "DUNCAN",
"authorized_official_first_name": "GARY",
"authorized_official_title_or_position": "VICE PRESIDENT",
"authorized_official_telephone_number": "561-433-4444"
},
"taxonomies": [
{
"code": "207T00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Neurological Surgery",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF FL",
"identifier": "74721",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Atlantis, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.