Organization Active NPI

Palm Beach Neurosurgery LLC

  • Neurological Surgery Physician
  • Atlantis, FL
National Provider Identifier
1649218561
Registry record updated Aug 29, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
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

Updated by the provider on Aug 29, 2007

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)CodeLicenseStatePrimary
Neurological Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
74721OtherBCBS OF FL

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.