Organization Active NPI

Total Spine Institute PLLC

  • Neurological Surgery Physician
  • Brandon, FL
National Provider Identifier
1699337808
Registry record updated Jan 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
Legal business name
TOTAL SPINE INSTITUTE PLLC
Practice address
1110 Nikki View Dr
Brandon, FL 33511-4868
Phone
(813) 997-2099
NPI assigned
Jul 8, 2019
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Dr. Tien Viet Le, MDNPI 1316136377
Title
President
Phone
(813) 422-4166

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Practitioners 9

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

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190904002662 FL Part B Supplier - Clinic/Group Practice 7517296361 Receives reassigned benefits from 9 practitioners
Practice locations: Brandon, FL

National Provider Directory

National Provider Directory

Locations

717 Imar Dr
Sun City Ctr, FL 33573
Phone (813) 634-3500

2321 Crestover Ln
Wesley Chapel, FL 33544
Phone (813) 257-9617

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207T00000X Primary

Addresses

NPPES NPI Registry

Primary practice location

1110 Nikki View Dr
Brandon, FL 33511-4868

Mailing address

1110 Nikki View Dr
Brandon, FL 33511-4868

Other names 1

NPPES NPI Registry
  • Total Spine and Brain Institute, PLLC Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jan 10, 2024.

{
    "created_epoch": "1562544000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704844800000",
    "number": "1699337808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1110 NIKKI VIEW DR",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335114868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1110 NIKKI VIEW DR",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335114868",
            "telephone_number": "813-997-2099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOTAL SPINE INSTITUTE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-08",
        "last_updated": "2024-01-10",
        "certification_date": "2022-04-27",
        "status": "A",
        "authorized_official_last_name": "LE",
        "authorized_official_first_name": "TIEN",
        "authorized_official_middle_name": "VIET",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "813-422-4166",
        "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
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Total Spine and Brain Institute, PLLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Brandon, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2024; 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.