NPIMap

Organization Active NPI

Spine and Brain Neurosurgery Center

  • Specialist
  • West Reading, PA
National Provider Identifier
1912964032
Registry record updated Jul 23, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
SPINE AND BRAIN NEUROSURGERY CENTER
Practice address
601 Spruce St
West Reading, PA 19611-1443
Phone
(610) 375-4567
Fax
(610) 685-8801
NPI assigned
May 1, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2007

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

Authorized official

Name
Jennifer J Peterka
Title
Billing Supervisor
Phone
(610) 375-4567

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

601 Spruce St
West Reading, PA 19611-1443

Mailing address

601 Spruce St
West Reading, PA 19611-1496
Phone (610) 375-4567

Other names 1

  • JRCT Neurosurgical Associates, P.C. Former legal business name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1146441600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1185148800000",
    "number": "1912964032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 SPRUCE ST",
            "city": "WEST READING",
            "state": "PA",
            "postal_code": "196111496",
            "telephone_number": "610-375-4567",
            "fax_number": "610-685-8801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 SPRUCE ST",
            "city": "WEST READING",
            "state": "PA",
            "postal_code": "196111443",
            "telephone_number": "610-375-4567",
            "fax_number": "610-685-8801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPINE AND BRAIN NEUROSURGERY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-01",
        "last_updated": "2007-07-23",
        "status": "A",
        "authorized_official_last_name": "PETERKA",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "BILLING SUPERVISOR",
        "authorized_official_telephone_number": "610-375-4567"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "JRCT Neurosurgical Associates, P.C.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in West Reading, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 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.