NPIMap

Organization Active NPI

Brain and Spine Neuroscience Institute, LLC

  • Neurological Surgery Physician
  • Palm Harbor, FL
National Provider Identifier
1821686064
Registry record updated Jul 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
Legal business name
BRAIN AND SPINE NEUROSCIENCE INSTITUTE, LLC
Practice address
3519 Alt 19
Palm Harbor, FL 34683-1416
Phone
(813) 336-4461
Fax
(813) 336-4466
NPI assigned
Jan 4, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 4, 2023

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

Authorized official

Name
Judy Soliman
Title
Practice Manager
Phone
(813) 336-4461

Specialties & licenses 1

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

Addresses

Primary practice location

3519 Alt 19
Palm Harbor, FL 34683-1416

Mailing address

3519 Palm Harbor Blvd Ste B
Palm Harbor, FL 34683-1416
Phone (813) 336-4461

National Provider Directory

National Provider Directory
Tax ID family
Brain and Spine Neuroscience Institute LLC4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

3519 Palm Harbor Blvd
Ste B
Palm Harbor, FL 34683
Phone (813) 336-4461

Practitioners & affiliated clinicians

Practitioners 1

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": "1609718400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1688428800000",
    "number": "1821686064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3519 PALM HARBOR BLVD STE B",
            "city": "PALM HARBOR",
            "state": "FL",
            "postal_code": "346831416",
            "telephone_number": "813-336-4461",
            "fax_number": "813-336-4466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3519 ALT 19",
            "city": "PALM HARBOR",
            "state": "FL",
            "postal_code": "346831416",
            "telephone_number": "813-336-4461",
            "fax_number": "813-336-4466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRAIN AND SPINE NEUROSCIENCE INSTITUTE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-04",
        "last_updated": "2023-07-04",
        "certification_date": "2023-07-04",
        "status": "A",
        "authorized_official_last_name": "SOLIMAN",
        "authorized_official_first_name": "JUDY",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "813-336-4461"
    },
    "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 Palm Harbor, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 4, 2023; 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.