Organization Active NPI

The Brain & Spine Center PC

  • Specialist
  • Alabaster, AL
National Provider Identifier
1932268844
Registry record updated Jun 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
18447 Issued in AL
Legal business name
THE BRAIN & SPINE CENTER PC
Practice address
632 2ND St NE
Alabaster, AL 35007-8817
Phone
(205) 621-0122
Fax
(205) 621-0145
NPI assigned
Dec 6, 2006
Last updated
Jun 14, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2024

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

Authorized official

Name
Dr. Sean O'Malley, MDNPI 1629034111
Title
President
Phone
(205) 621-0122

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
Specialist 174400000X 18447 AL Primary

Addresses

Primary practice location

632 2ND St NE
Alabaster, AL 35007-8817

Mailing address

632 2ND St NE
Alabaster, AL 35007-8817
Phone (205) 621-0122

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040128001110 AL Part B Supplier - Clinic/Group Practice 1153224043 Receives reassigned benefits from 1 practitioner
Practice locations: Alabaster, AL

National Provider Directory

National Provider Directory

Locations

1004 1st St N
Ste 150
Alabaster, AL 35007
Phone (205) 621-0122

632 2nd St NE
Alabaster, AL 35007
Phone (205) 621-0122

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1165363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718323200000",
    "number": "1932268844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "632 2ND ST NE",
            "city": "ALABASTER",
            "state": "AL",
            "postal_code": "350078817",
            "telephone_number": "205-621-0122",
            "fax_number": "205-621-0145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "632 2ND ST NE",
            "city": "ALABASTER",
            "state": "AL",
            "postal_code": "350078817",
            "telephone_number": "205-621-0122",
            "fax_number": "205-621-0145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE BRAIN & SPINE CENTER PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-06",
        "last_updated": "2024-06-14",
        "certification_date": "2024-06-14",
        "status": "A",
        "authorized_official_last_name": "O'MALLEY",
        "authorized_official_first_name": "SEAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "205-621-0122",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "AL",
            "license": "18447",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alabaster, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2024; 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.