NPIMap

Organization Active NPI

Neuspine Institute LLC

  • Neurological Surgery Physician
  • Wesley Chapel, FL
National Provider Identifier
1861913857
Registry record updated Mar 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
Legal business name
NEUSPINE INSTITUTE LLC
Practice address
2590 Healing Way
Ste 310
Wesley Chapel, FL 33543-3354
Phone
(813) 333-1186
Fax
(844) 691-5928
NPI assigned
Jun 29, 2017
Last updated
Mar 11, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2021

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

Authorized official

Name
Brian Clukie
Title
Administration
Phone
(813) 997-2099

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X NU Primary

Addresses

Primary practice location

2590 Healing Way
Ste 310
Wesley Chapel, FL 33543-3354

Mailing address

2653 Bruce B Downs Blvd Ste 108-168
Wesley Chapel, FL 33544-9206

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20171010000299 FL Part B Supplier - Clinic/Group Practice 0648545129 Receives reassigned benefits from 34 practitioners
Practice locations: Brandon, FL; Clearwater, FL; Dade City, FL; Lakeland, FL; Odessa, FL; Wesley Chapel, FL

National Provider Directory

National Provider Directory

Locations

15141 Ogden Loop
Odessa, FL 33556

38055 Arbor RDG Dr
Zephyrhills, FL 33540

Practitioners & affiliated clinicians

Practitioners 34

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.

View all 34

NPI Registry JSON

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

{
    "created_epoch": "1498694400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1615420800000",
    "number": "1861913857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2653 BRUCE B DOWNS BLVD STE 108-168",
            "city": "WESLEY CHAPEL",
            "state": "FL",
            "postal_code": "335449206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2590 HEALING WAY",
            "address_2": "STE 310",
            "city": "WESLEY CHAPEL",
            "state": "FL",
            "postal_code": "335433354",
            "telephone_number": "813-333-1186",
            "fax_number": "844-691-5928"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEUSPINE INSTITUTE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-29",
        "last_updated": "2021-03-11",
        "certification_date": "2021-02-11",
        "status": "A",
        "authorized_official_last_name": "CLUKIE",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "ADMINISTRATION",
        "authorized_official_telephone_number": "813-997-2099"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wesley Chapel, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 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.