Brain and Spine Specialists, Inc

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

BRAIN AND SPINE SPECIALISTS, INC

Practice address

1859 Chinar Tree Dr
Upland, CA 91784-2524

Phone

(307) 920-1688

NPI assigned

Nov 18, 2021

Organization subpart

No

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

Authorized official

Name

William Hammesfahr, MDNPI 1962446500

Title

President

Phone

(307) 920-1688

Specialties & licenses 1

Addresses

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• William M Hammesfahr, MD

  • Neurology Physician
  • Lady Lake, FL
  • NPI 1962446500
  NPD Authorized official
• Marie Galaraga Johnston, FNP-BC

  • Family Nurse Practitioner
  • Montclair, CA
  • NPI 1528505377
  NPD

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

{
    "created_epoch": "1637193600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1637193600000",
    "number": "1669139259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1859 CHINAR TREE DR",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917842524",
            "telephone_number": "307-920-1688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1859 CHINAR TREE DR",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917842524",
            "telephone_number": "307-920-1688"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1859 Chinar Tree Dr",
            "address_purpose": "LOCATION",
            "city": "Upland",
            "state": "CA",
            "postal_code": "917842524",
            "country_code": "US",
            "telephone_number": "307-920-1688",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BRAIN AND SPINE SPECIALISTS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-18",
        "last_updated": "2021-11-18",
        "certification_date": "2021-11-18",
        "status": "A",
        "authorized_official_last_name": "HAMMESFAHR",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "307-920-1688",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nancy Botros, MD
• Jody A Bouma, N.P.
• Sam H. Bouman, PH.D., L.E.P.
• Patricia Bowers, LCSW
• Jeremy Box
• Bobbi Brasfield
• Anna Catalina Manalaysay Bravo-Custodio, PAC
• Louis Brenner, M.D.
• Lisa Doan Breshears, D.P.M.
• Karen Brichta, M.D.

• Clinic/Center in Upland, CA
• Providers in Upland, CA by specialty
• Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2021; 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.