Port City Neurosurgery and Spine, P.C.

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

PORT CITY NEUROSURGERY AND SPINE, P.C.

Practice address

2800 Ashton Dr Ste 200
Wilmington, NC 28412

Phone

(910) 799-2262

Fax

(910) 799-2943

NPI assigned

Jan 5, 2009

Organization subpart

No

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

Authorized official

Name

Ms. Brandy Anderson

Title

Office Manager

Phone

(910) 799-2262

Specialties & licenses 1

Addresses

Other names 1

• Port City Neurosurgery & Spine, P.C. Other name

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

{
    "created_epoch": "1231113600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666742400000",
    "number": "1700022290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2800 ASHTON DR STE 200",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284122486",
            "telephone_number": "910-799-2262",
            "fax_number": "910-799-2943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2800 ASHTON DR STE 200",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "28412",
            "telephone_number": "910-799-2262",
            "fax_number": "910-799-2943"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PORT CITY NEUROSURGERY AND SPINE, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-05",
        "last_updated": "2022-10-26",
        "certification_date": "2022-10-26",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "BRANDY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "910-799-2262",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Port City Neurosurgery & Spine, P.C.",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Port City Neurosurgery & Spine, P.C.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Specialist in Wilmington, NC
• Providers in Wilmington, NC by specialty
• Specialist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2022; 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.