Advanced Brain and Spine, LLC

Primary specialty

Neurological Surgery PhysicianTaxonomy code 207T00000X

License

50908 Issued in CO

Legal business name

ADVANCED BRAIN AND SPINE, LLC

Practice address

6801 S Yosemite St
Centennial, CO 80112-1406

Phone

(303) 718-2868

Fax

(720) 328-8764

NPI assigned

Apr 10, 2013

Last updated

Jan 21, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Itay Melamed, M.D.

Title

Manager

Phone

(720) 425-5451

Specialties & licenses 1

Addresses

Other names 1

• Advanced Neurosurgery, LLC Former legal business name

Locations

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

{
    "created_epoch": "1365552000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1421798400000",
    "number": "1952744765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9876 W FREIBURG DR",
            "address_2": "UNIT D",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "801275950",
            "telephone_number": "303-718-2868",
            "fax_number": "720-328-8764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6801 S YOSEMITE ST",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "801121406",
            "telephone_number": "303-718-2868",
            "fax_number": "720-328-8764"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED BRAIN AND SPINE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-10",
        "last_updated": "2015-01-21",
        "status": "A",
        "authorized_official_last_name": "MELAMED",
        "authorized_official_first_name": "ITAY",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "720-425-5451",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "CO",
            "license": "50908",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Advanced Neurosurgery, LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Neurological Surgery Physician in Centennial, CO
• Providers in Centennial, CO by specialty
• Neurological Surgery Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2015; 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.