Organization Active NPI

Surprise Pain and Spine

  • General Practice Physician
  • Surprise, AZ
National Provider Identifier
1962214866
Registry record updated Jan 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
SURPRISE PAIN AND SPINE
Practice address
13754 W Bell Rd Ste 1
Surprise, AZ 85374-3879
Phone
(585) 727-5558
NPI assigned
Jan 27, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2025

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

Authorized official

Name
Brandon Kulp, DC
Title
Member
Phone
(585) 727-5558

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X Primary

Addresses

Primary practice location

13754 W Bell Rd Ste 1
Surprise, AZ 85374-3879

Mailing address

13754 W Bell Rd Ste 1
Surprise, AZ 85374-3879

National Provider Directory

National Provider Directory

Locations

13754 W Bell Rd
Ste 1
Surprise, AZ 85374
Phone (585) 727-5558

NPI Registry JSON

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

{
    "created_epoch": "1737936000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1737936000000",
    "number": "1962214866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13754 W BELL RD STE 1",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853743879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13754 W BELL RD STE 1",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853743879",
            "telephone_number": "585-727-5558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SURPRISE PAIN AND SPINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-27",
        "last_updated": "2025-01-27",
        "certification_date": "2025-01-27",
        "status": "A",
        "authorized_official_last_name": "KULP",
        "authorized_official_first_name": "BRANDON",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "585-727-5558",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Surprise, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2025; 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.