Active NPI
Center for Minimally Invasive Neurosurgery PLLC
- Neurological Surgery Physician
- Conroe, TX
National Provider Identifier
1952000523
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurological Surgery Physician
- Legal business name
- CENTER FOR MINIMALLY INVASIVE NEUROSURGERY PLLC
- Practice address
- 1020 Riverwood CT Ste 305
Conroe, TX 77304-2974 - Phone
- (832) 447-7494
- Fax
- (832) 510-0563
- NPI assigned
- Mar 2, 2023
- Last updated
- Mar 21, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Praveen Reddy, MD
- Title
- Principal
- Phone
- (612) 961-7507
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurological Surgery Physician | 207T00000X | NU | Primary |
Addresses
Primary practice location
1020 Riverwood CT Ste 305
Conroe, TX 77304-2974
Mailing address
1020 Riverwood CT Ste 305
Conroe, TX 77304-2974
Phone (832) 447-7494
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 2
National Provider Directory
National Provider DirectoryLocations
7121 Spid Dr
Ste 106
Corpus Christi, TX 78412
Phone (361) 353-2020
Practitioners & affiliated clinicians
Practitioners 5
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.
-
- Neurological Surgery Physician
- Conroe, TX
- NPI 1720060775
-
- Neurological Surgery Physician
- Corpus Christi, TX
- NPI 1982637831
-
- Neurological Surgery Physician
- Edinburg, TX
- NPI 1487187142
-
- Physician Assistant
- Conroe, TX
- NPI 1578296406
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1677715200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1679356800000",
"number": "1952000523",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1020 RIVERWOOD CT STE 305",
"city": "CONROE",
"state": "TX",
"postal_code": "773042974",
"telephone_number": "832-447-7494",
"fax_number": "832-510-0563"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1020 RIVERWOOD CT STE 305",
"city": "CONROE",
"state": "TX",
"postal_code": "773042974",
"telephone_number": "832-447-7494",
"fax_number": "832-510-0563"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CENTER FOR MINIMALLY INVASIVE NEUROSURGERY PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-03-02",
"last_updated": "2023-03-21",
"certification_date": "2023-03-21",
"status": "A",
"authorized_official_last_name": "REDDY",
"authorized_official_first_name": "PRAVEEN",
"authorized_official_title_or_position": "PRINCIPAL",
"authorized_official_telephone_number": "612-961-7507",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207T00000X",
"taxonomy_group": "",
"desc": "Neurological Surgery",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Conroe, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2023; 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.