The Brain and Spine Center of Southeast Ga

Primary specialty

Neurological Surgery PhysicianTaxonomy code 207T00000X

Legal business name

THE BRAIN AND SPINE CENTER OF SOUTHEAST GA

Practice address

1111 Glynco Pkwy
3Rd Floor
Brunswick, GA 31525-7921

Phone

(912) 262-6552

NPI assigned

Sep 26, 2006

Organization subpart

No

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

Authorized official

Name

Mark A. Gold, M.D.

Title

Ceo

Phone

(912) 262-6552

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205712000000",
    "number": "1649371907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 GLYNCO PKWY",
            "address_2": "3RD FLOOR",
            "city": "BRUNSWICK",
            "state": "GA",
            "postal_code": "315257921",
            "telephone_number": "912-262-6552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 GLYNCO PKWY",
            "address_2": "3RD FLOOR",
            "city": "BRUNSWICK",
            "state": "GA",
            "postal_code": "315257921",
            "telephone_number": "912-262-6552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE BRAIN AND SPINE CENTER OF SOUTHEAST GA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-26",
        "last_updated": "2008-03-17",
        "status": "A",
        "authorized_official_last_name": "GOLD",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "912-262-6552",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Neurological Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nathaniel Scott Taylor, MD
• Ronnie Christopher Taylor, D.C.
• Wanda Taylor, RN
• Carol Temple, RN
• Karen Jean Terrell, NP-C
• The Eupatheia Center Inc
• The Medicine Cabinet of Brunswick, LLC (Medical Center Pharmacy)
• The Nemours Foundation (Nemours Children's Clinic Georgia)
• The Resiliency Institiute
• The Resiliency Institute, Inc

• Neurological Surgery Physician in Brunswick, GA
• Providers in Brunswick, GA by specialty
• Neurological Surgery Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2008; 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.