Organization Active NPI

Palm Beach Brain and Spine LLC

  • Neurological Surgery Physician
  • West Palm Beach, FL
National Provider Identifier
1760511356
Registry record updated Aug 29, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
Legal business name
PALM BEACH BRAIN AND SPINE LLC
Practice address
4631 N Congress Ave
Suite 202 - 110
West Palm Beach, FL 33407-3209
Phone
(561) 844-0120
Fax
(561) 844-0570
NPI assigned
Mar 2, 2007
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
Gary Duncan
Title
VP
Phone
(800) 661-3365

Specialties & licenses 1

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

Addresses

Primary practice location

4631 N Congress Ave
Suite 202 - 110
West Palm Beach, FL 33407-3209

Mailing address

4631 N Congress Ave
Suite 202 - 110
West Palm Beach, FL 33407-3209
Phone (561) 844-0120

National Provider Directory

National Provider Directory
Tax ID family
Palm Beach Brain 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.

NPI Registry JSON

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

{
    "created_epoch": "1172793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1188345600000",
    "number": "1760511356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4631 N CONGRESS AVE",
            "address_2": "SUITE 202 - 110",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334073209",
            "telephone_number": "561-844-0120",
            "fax_number": "561-844-0570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4631 N CONGRESS AVE",
            "address_2": "SUITE 202 - 110",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334073209",
            "telephone_number": "561-844-0120",
            "fax_number": "561-844-0570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALM BEACH BRAIN AND SPINE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-02",
        "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": "800-661-3365"
    },
    "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 West Palm Beach, 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.