NPIMap

Organization Active NPI

Premier Brain and Spine, LLC

  • Durable Medical Equipment & Medical Supplies
  • West Deptford, NJ
National Provider Identifier
1669326575
Registry record updated Feb 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
PREMIER BRAIN AND SPINE, LLC
Practice address
1225 N Broad St Ste 3
West Deptford, NJ 08096-1203
Phone
(856) 845-0707
Fax
(856) 845-0082
NPI assigned
Feb 26, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2026

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

Authorized official

Name
Dr. Eric D Freeman, MD
Title
Part-Owner, MNG Member, Medical Dir
Phone
(732) 906-9600

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery of the Spine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207XS0117X
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

1225 N Broad St Ste 3
West Deptford, NJ 08096-1203

Mailing address

90 Matawan Rd Ste 302
Matawan, NJ 07747-2653
Phone (732) 441-7177

Other names 2

  • Redefine Healthcare Doing business as
  • Woodbury Spine Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260430004262 NJ DME Supplier - Multi-Specialty - PhysicianDME Supplier - Physician - Orthopedic/Orthopedic Surgery 6608264833 Practice locations: West Deptford, NJ

National Provider Directory

National Provider Directory
Tax ID family
Premier Brain and Spine LLC35 organizations share this tax ID, including this one

Other organizations with this tax ID 34

Organizations that report the same tax identification number in the National Provider Directory.

View all 34

NPI Registry JSON

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

{
    "created_epoch": "1772064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1772064000000",
    "number": "1669326575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "90 MATAWAN RD STE 302",
            "city": "MATAWAN",
            "state": "NJ",
            "postal_code": "077472653",
            "telephone_number": "732-441-7177",
            "fax_number": "732-441-7165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1225 N BROAD ST STE 3",
            "city": "WEST DEPTFORD",
            "state": "NJ",
            "postal_code": "080961203",
            "telephone_number": "856-845-0707",
            "fax_number": "856-845-0082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER BRAIN AND SPINE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-02-26",
        "last_updated": "2026-02-26",
        "certification_date": "2026-02-26",
        "status": "A",
        "authorized_official_last_name": "FREEMAN",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PART-OWNER, MNG MEMBER, MEDICAL DIR",
        "authorized_official_telephone_number": "732-906-9600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207XS0117X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Redefine Healthcare",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Woodbury Spine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in West Deptford, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.