Organization Active NPI

Northwest Broward Neurosurgery and Spine LLC

  • Neurological Surgery Physician
  • Margate, FL
National Provider Identifier
1699966440
Registry record updated Aug 29, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
Legal business name
NORTHWEST BROWARD NEUROSURGERY AND SPINE LLC
Practice address
5901 Colonial Dr
Suite 311
Margate, FL 33063-5675
Phone
(954) 973-4840
NPI assigned
Aug 7, 2007
Last updated
Aug 29, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2007

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

Authorized official

Name
Mr. Gary Duncan
Title
VP
Phone
(561) 548-3878

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X Primary

Addresses

Primary practice location

5901 Colonial Dr
Suite 311
Margate, FL 33063-5675

Mailing address

5901 Colonial Dr
Suite 311
Margate, FL 33063-5675
Phone (954) 973-4840

Other identifiers 1

IdentifierTypeStateIssuer
PENDINGMedicaidFL

National Provider Directory

National Provider Directory
Tax ID family
Northwest Broward Neurosurgery and Spine LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Practitioners & affiliated clinicians

Practitioners 1

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": "1186444800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1188345600000",
    "number": "1699966440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5901 COLONIAL DR",
            "address_2": "SUITE 311",
            "city": "MARGATE",
            "state": "FL",
            "postal_code": "330635675",
            "telephone_number": "954-973-4840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5901 COLONIAL DR",
            "address_2": "SUITE 311",
            "city": "MARGATE",
            "state": "FL",
            "postal_code": "330635675",
            "telephone_number": "954-973-4840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHWEST BROWARD NEUROSURGERY AND SPINE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-07",
        "last_updated": "2007-08-29",
        "status": "A",
        "authorized_official_last_name": "DUNCAN",
        "authorized_official_first_name": "GARY",
        "authorized_official_title_or_position": "VP",
        "authorized_official_telephone_number": "561-548-3878",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PENDING",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Margate, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2007; 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.