Organization Active NPI

New Braunfels Spine & Pain Surgery

  • Ambulatory Surgical Clinic/Center
  • New Braunfels, TX
National Provider Identifier
1720434731
Registry record updated Aug 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
NEW BRAUNFELS SPINE & PAIN SURGERY
Practice address
717 Generations
Suite a
New Braunfels, TX 78130-0005
Phone
(830) 387-2343
NPI assigned
May 9, 2016
Last updated
Aug 23, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2019

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

Authorized official

Name
Ms. Laurie Bailey
Title
Administrator
Phone
(830) 387-2343

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X Primary

Addresses

Primary practice location

717 Generations
Suite a
New Braunfels, TX 78130-0005

Mailing address

717 Generations
Suite a
New Braunfels, TX 78130-0005
Phone (830) 387-2343

Other identifiers 1

IdentifierTypeStateIssuer
3877854MedicaidTX

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20161111001005 TX Part B Supplier - Ambulatory Surgical Center 6901185164 Practice locations: New Braunfels, TX

Care Compare: Ambulatory surgical center

Medicare Care Compare
Listed as
New Braunfels Spine and Pain SurgeryCCN 45C0001628
Medicare certification status
ActiveFrom the Provider of Services file

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D2118614New Braunfels Spine and Pain Surgery Center717 Generations Drive Suite a, New Braunfels, TX 78130Certificate of waiverSep 11, 2026

National Provider Directory

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": "1462752000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1566518400000",
    "number": "1720434731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "717 GENERATIONS",
            "address_2": "SUITE A",
            "city": "NEW BRAUNFELS",
            "state": "TX",
            "postal_code": "781300005",
            "telephone_number": "830-387-2343",
            "fax_number": "830-627-9144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "717 GENERATIONS",
            "address_2": "SUITE A",
            "city": "NEW BRAUNFELS",
            "state": "TX",
            "postal_code": "781300005",
            "telephone_number": "830-387-2343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW BRAUNFELS SPINE & PAIN SURGERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-09",
        "last_updated": "2019-08-23",
        "status": "A",
        "authorized_official_last_name": "BAILEY",
        "authorized_official_first_name": "LAURIE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "830-387-2343",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3877854",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Braunfels, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.