Organization Active NPI

Expert Neurosurgical Services LLC

  • Neurological Surgery Physician
  • Jupiter, FL
National Provider Identifier
1861961344
Registry record updated Nov 14, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
Legal business name
EXPERT NEUROSURGICAL SERVICES LLC
Practice address
600 Heritage Dr Ste 105
Jupiter, FL 33458-3098
Phone
(561) 935-9233
Fax
(855) 205-7185
NPI assigned
Nov 14, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2018

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

Authorized official

Name
Brett Osborn, MDNPI 1932104049
Title
Owner
Phone
(561) 935-9233

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

600 Heritage Dr Ste 105
Jupiter, FL 33458-3098

Mailing address

600 Heritage Dr Ste 105
Jupiter, FL 33458-3098
Phone (561) 935-9233

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20191007001331 FL Part B Supplier - Clinic/Group Practice 0446593750 Receives reassigned benefits from 1 practitioner
Practice locations: West Palm Beach, FL

National Provider Directory

National Provider Directory

Locations

1620 Southern Blvd
Unit 1
West Palm Beach, FL 33406
Phone (561) 935-9233

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": "1542153600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1542153600000",
    "number": "1861961344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 HERITAGE DR STE 105",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334583098",
            "telephone_number": "561-935-9233",
            "fax_number": "855-205-7185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 HERITAGE DR STE 105",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334583098",
            "telephone_number": "561-935-9233",
            "fax_number": "855-205-7185"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXPERT NEUROSURGICAL SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-14",
        "last_updated": "2018-11-14",
        "status": "A",
        "authorized_official_last_name": "OSBORN",
        "authorized_official_first_name": "BRETT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "561-935-9233",
        "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 Jupiter, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2018; 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.