Organization Active NPI

Spine and Brain Neurosurgical Care

  • Neurological Surgery Physician
  • Lexington, KY
National Provider Identifier
1669805677
Registry record updated May 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
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

Updated by the provider on May 22, 2023

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

Authorized official

Name
Dr. John W. Gilbert, MDNPI 1720051501
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)CodeLicenseStatePrimary
Neurological Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207T00000X Primary
Durable Medical Equipment & Medical Supplies 332B00000X
Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 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

IdentifierTypeStateIssuer
7100255040MedicaidKY

Other names 1

  • Spine and Brain Neurosurgical Care PLLC Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20131011001302 KY Part B Supplier - Clinic/Group Practice 2961636642 Receives reassigned benefits from 1 practitioner
Practice locations: Lexington, KY
O20140612001600 KY DME Supplier - Physician - Neurosurgery 2961636642 Practice locations: Lexington, KY

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.