Brain and Spine Associates PC

Primary specialty

Neurological Surgery PhysicianTaxonomy code 207T00000X

Legal business name

BRAIN AND SPINE ASSOCIATES PC

Practice address

3720 Katalin CT
Bay City, MI 48706-2106

Phone

(989) 778-1241

NPI assigned

Aug 9, 2021

Organization subpart

No

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

Authorized official

Name

Srinivasachari Chakravarthi, MDNPI 1174590962

Title

Owner

Phone

(989) 778-1241

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

Practitioners 3

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

• Srinivasachari Tatadesika Chakravarthi, MD

  • Neurological Surgery Physician
  • Toledo, OH
  • NPI 1174590962

  MI

  Medicare reassignment NPD Authorized official
• Ratul Raychaudhuri, MD

  • Neurological Surgery Physician
  • Toledo, OH
  • NPI 1760684179

  MI

  Medicare reassignment NPD
• Daryl G Damron, PA-C

  • Physician Assistant
  • Flint, MI
  • NPI 1205803780
  Medicare reassignment

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

{
    "created_epoch": "1628467200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1628467200000",
    "number": "1710651195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3720 KATALIN CT",
            "city": "BAY CITY",
            "state": "MI",
            "postal_code": "487062106",
            "telephone_number": "989-778-1241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3720 KATALIN CT",
            "city": "BAY CITY",
            "state": "MI",
            "postal_code": "487062106",
            "telephone_number": "989-778-1241"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRAIN AND SPINE ASSOCIATES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-09",
        "last_updated": "2021-08-09",
        "certification_date": "2021-08-09",
        "status": "A",
        "authorized_official_last_name": "CHAKRAVARTHI",
        "authorized_official_first_name": "SRINIVASACHARI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "989-778-1241",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Neurological Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jerod Bradley, D.C.
• Megan Bradley
• Allison Brady
• Taylor Lynn Braeutigam
• Julie Christine Bragiel, CRNA
• Jacqueline Braley
• Ashley M Brand, BA
• Brandan L Lebourdais DDS Ms PC
• Kimberly Ann Brandenburg, RN
• Tracy Renee Brandenburg, MD

• Neurological Surgery Physician in Bay City, MI
• Providers in Bay City, MI by specialty
• Neurological Surgery Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2021; 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.