Organization Active NPI

Neurosurgery Consultants, LLC

  • Neurological Surgery Physician
  • Lake Charles, LA
National Provider Identifier
1740927540
Registry record updated Jan 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
Legal business name
NEUROSURGERY CONSULTANTS, LLC
Practice address
4150 Nelson Rd
BLDG C10
Lake Charles, LA 70605-4169
Phone
(337) 240-7280
Fax
(337) 240-7288
NPI assigned
May 13, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2023

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

Authorized official

Name
Matthew Burton, MDNPI 1669730313
Title
Owner
Phone
(337) 240-7280

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207T00000X Primary

Addresses

Primary practice location

4150 Nelson Rd
BLDG C10
Lake Charles, LA 70605-4169

Mailing address

4150 Nelson Rd Ste C10
Lake Charles, LA 70605-4169
Phone (337) 240-7280

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20220602001152 LA Part B Supplier - Clinic/Group Practice 4789062837 Receives reassigned benefits from 2 practitioners
Practice locations: Lake Charles, LA
O20240110003636 LA DME Supplier - Physician - Neurosurgery 4789062837 Practice locations: Lake Charles, LA

National Provider Directory

National Provider Directory

Locations

4150 Nelson Rd
Ste C10
Lake Charles, LA 70605
Phone (337) 240-7280

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1652400000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674172800000",
    "number": "1740927540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4150 NELSON RD STE C10",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706054169",
            "telephone_number": "337-240-7280",
            "fax_number": "337-240-7288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4150 NELSON RD",
            "address_2": "BLDG C10",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706054169",
            "telephone_number": "337-240-7280",
            "fax_number": "337-240-7288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEUROSURGERY CONSULTANTS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-13",
        "last_updated": "2023-01-20",
        "certification_date": "2023-01-20",
        "status": "A",
        "authorized_official_last_name": "BURTON",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "337-240-7280",
        "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": []
}

Other providers in Lake Charles, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2023; 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.