Active NPI
Spine and Brain Neurosurgical Care
- Neurological Surgery Physician
- Lexington, KY
National Provider Identifier
1669805677
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurological Surgery Physician
- Legal business name
- SPINE AND BRAIN NEUROSURGICAL CARE
- Practice address
- 3256 Loch Ness Dr
Lexington, KY 40517-1239 - Phone
- (859) 971-0014
- Fax
- (859) 971-0074
- NPI assigned
- Aug 13, 2013
- 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
- Dr. John W. Gilbert, MD
- Title
- Owner/Physician
- Phone
- (859) 971-0014
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurological Surgery Physician | 207T00000X | Primary | ||
| Durable Medical Equipment & Medical Supplies | 332B00000X | |||
| Nurse Practitioner | 363L00000X |
Addresses
Primary practice location
3256 Loch Ness Dr
Lexington, KY 40517-1239
Mailing address
3256 Loch Ness Dr
Lexington, KY 40517-1239
Phone (859) 971-0014
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7100255040 | Medicaid | KY |
Other names 1
- Spine and Brain Neurosurgical Care PLLC
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
Enrollment records 2
National Provider Directory
National Provider DirectoryLocations
3256 Loch Ness Dr
Lexington, KY 40517
Phone (859) 971-0014
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Neurological Surgery Physician
- Lexington, KY
- NPI 1720051501
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1376352000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1684713600000",
"number": "1669805677",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3256 LOCH NESS DR",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "405171239",
"telephone_number": "859-971-0014",
"fax_number": "859-971-0074"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3256 LOCH NESS DR",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "405171239",
"telephone_number": "859-971-0014",
"fax_number": "859-971-0074"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SPINE AND BRAIN NEUROSURGICAL CARE",
"organizational_subpart": "NO",
"enumeration_date": "2013-08-13",
"last_updated": "2023-05-22",
"certification_date": "2023-05-22",
"status": "A",
"authorized_official_last_name": "GILBERT",
"authorized_official_first_name": "JOHN",
"authorized_official_middle_name": "W.",
"authorized_official_title_or_position": "OWNER/PHYSICIAN",
"authorized_official_telephone_number": "859-971-0014",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207T00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Neurological Surgery",
"state": null,
"license": null,
"primary": true
},
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7100255040",
"state": "KY"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Spine and Brain Neurosurgical Care PLLC",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Lexington, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2023; 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.