Organization Active NPI

Brain and Spine Neuroscience Institute, LLC

Doing business as Minimally Invasive Surgical Specialists

  • Surgery Physician
  • New Port Richey, FL
National Provider Identifier
1902327133
Registry record updated Apr 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
BRAIN AND SPINE NEUROSCIENCE INSTITUTE, LLC
Doing business as
Minimally Invasive Surgical Specialists
Practice address
7657 Cita LN
New Port Richey, FL 34653-6221
Phone
(813) 563-2310
Fax
(727) 312-4841
NPI assigned
Jun 28, 2017
Last updated
Apr 24, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2020

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

Authorized official

Name
John Soliman, DO
Title
Owner, Physician
Phone
(630) 918-9296

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X NU Primary

Addresses

Primary practice location

7657 Cita LN
New Port Richey, FL 34653-6221

Mailing address

16506 Pointe Village Dr Ste 107
Lutz, FL 33558-5255
Phone (630) 918-9296

Other names 1

  • Minimally Invasive Surgical Specialists Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160708000728 FL Part B Supplier - Clinic/Group Practice 7012209216 Receives reassigned benefits from 13 practitioners
8 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Lutz, FL; Palm Harbor, FL

Other NPIs on the same Medicare enrollment 8

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

16541 Pointe Village Dr
Ste 209
Lutz, FL 33558
Phone (219) 616-4108

NPI Registry JSON

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

{
    "created_epoch": "1498608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1587686400000",
    "number": "1902327133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16506 POINTE VILLAGE DR STE 107",
            "city": "LUTZ",
            "state": "FL",
            "postal_code": "335585255",
            "telephone_number": "630-918-9296",
            "fax_number": "813-336-4466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7657 CITA LN",
            "city": "NEW PORT RICHEY",
            "state": "FL",
            "postal_code": "346536221",
            "telephone_number": "813-563-2310",
            "fax_number": "727-312-4841"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRAIN AND SPINE NEUROSCIENCE INSTITUTE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-28",
        "last_updated": "2020-04-24",
        "certification_date": "2020-04-24",
        "status": "A",
        "authorized_official_last_name": "SOLIMAN",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "OWNER, PHYSICIAN",
        "authorized_official_telephone_number": "630-918-9296",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Minimally Invasive Surgical Specialists",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Minimally Invasive Surgical Specialists",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in New Port Richey, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2020; 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.