Organization Active NPI

Piedmont Spine and Neurosurgical Group, P.a.

  • Neurological Surgery Physician
  • Greenville, SC
National Provider Identifier
1952554461
Registry record updated Jan 23, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
14321 Issued in SC
Legal business name
PIEDMONT SPINE AND NEUROSURGICAL GROUP, P.A.
Practice address
3 Saint Francis Dr Ste 330
Greenville, SC 29601-3972
Phone
(864) 220-4263
NPI assigned
Oct 28, 2008
Last updated
Jan 23, 2009By the provider in NPPES
Organization subpart
Yes
Parent organization
PIEDMONT SPINE AND NEUROSURGICAL GROUP, P.A.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 23, 2009

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

Authorized official

Name
Dr. Michael N Bucci, M.D.
Title
Partner
Phone
(864) 224-5700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X 14321 SC Primary

Addresses

Primary practice location

3 Saint Francis Dr Ste 330
Greenville, SC 29601-3972

Mailing address

109 Montgomery Dr
Anderson, SC 29621-3333
Phone (864) 224-5700

Other identifiers 1

IdentifierTypeStateIssuer
MPA967MedicaidSC

National Provider Directory

National Provider Directory
Part of
Piedmont Neurosurgical

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1225152000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1232668800000",
    "number": "1952554461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 MONTGOMERY DR",
            "city": "ANDERSON",
            "state": "SC",
            "postal_code": "296213333",
            "telephone_number": "864-224-5700",
            "fax_number": "864-226-0680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 SAINT FRANCIS DR STE 330",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296013972",
            "telephone_number": "864-220-4263"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PIEDMONT SPINE AND NEUROSURGICAL GROUP, P.A.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PIEDMONT SPINE AND NEUROSURGICAL GROUP, P.A.",
        "enumeration_date": "2008-10-28",
        "last_updated": "2009-01-23",
        "status": "A",
        "authorized_official_last_name": "BUCCI",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "864-224-5700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "SC",
            "license": "14321",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "MPA967",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2009; 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.