NPIMap

Organization Active NPI

The Brain and Spine Institute Inc

  • Specialist
  • West Palm Beach, FL
National Provider Identifier
1699114074
Registry record updated Jan 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
ME88243 Issued in FL
Legal business name
THE BRAIN AND SPINE INSTITUTE INC
Practice address
5 Harvard Cir
Suite 104
West Palm Beach, FL 33409-1979
Phone
(561) 603-6652
Fax
(888) 563-9455
NPI assigned
Jun 19, 2013
Last updated
Jan 22, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2016

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

Authorized official

Name
Dr. Yonas Zegeye, M.D.NPI 1255494704
Title
Physician
Phone
(561) 603-6652

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X ME88243 FL Primary

Addresses

Primary practice location

5 Harvard Cir
Suite 104
West Palm Beach, FL 33409-1979

Mailing address

5 Harvard Cir
Suite 104
West Palm Beach, FL 33409-1979
Phone (561) 603-6652

Other identifiers 1

IdentifierTypeStateIssuer
270499400MedicaidFL

National Provider Directory

National Provider Directory

Locations

5 Harvard Cir
Ste 104
West Palm Beach, FL 33409
Phone (561) 603-6652

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/HAEJAA

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1371600000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1453420800000",
    "number": "1699114074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 HARVARD CIR",
            "address_2": "SUITE 104",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334091979",
            "telephone_number": "561-603-6652",
            "fax_number": "888-563-9455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 HARVARD CIR",
            "address_2": "SUITE 104",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334091979",
            "telephone_number": "561-603-6652",
            "fax_number": "888-563-9455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE BRAIN AND SPINE INSTITUTE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-19",
        "last_updated": "2016-01-22",
        "status": "A",
        "authorized_official_last_name": "ZEGEYE",
        "authorized_official_first_name": "YONAS",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "561-603-6652",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME88243",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "270499400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Palm Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2016; 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.