NPIMap

Organization Active NPI

Regional Brain & Spine LLC

  • Neurological Surgery Physician
  • Cape Girardeau, MO
National Provider Identifier
1992753289
Registry record updated Jan 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
Legal business name
REGIONAL BRAIN & SPINE LLC
Practice address
1723 Broadway
Suite 410
Cape Girardeau, MO 63701
Phone
(573) 332-7746
Fax
(573) 339-9709
NPI assigned
May 5, 2006
Last updated
Jan 26, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2026

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

Authorized official

Name
Tara Morgan
Title
Business Office MGR
Phone
(573) 275-7715

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X NU Primary

Addresses

Primary practice location

1723 Broadway
Suite 410
Cape Girardeau, MO 63701

Mailing address

1723 Broadway St Ste 410
Cape Girardeau, MO 63701-4556
Phone (573) 332-7746

Other practice location 1

1117 Maple St
Farmington, MO 63640-7640
Phone (573) 332-7746

Other practice location 2

1300 North Mile Road
Suite 1
Dexter, MO 63841-1001
Phone (573) 332-7746

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20050401000170 MO Part B Supplier - Clinic/Group Practice 0749237808 Receives reassigned benefits from 12 practitioners
Practice locations: Cape Girardeau, MO; Dexter, MO; Farmington, MO
O20100930069942 MO DME Supplier - Physician - Neurosurgery 0749237808 Practice locations: Cape Girardeau, MO

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
26D1089911Regional Brain & Spine, LLC1723 Broadway, Ste 410, Cape Girardeau, MO 63701Certificate of waiverSep 29, 2026

National Provider Directory

National Provider Directory

Locations

1300 N One Mile Rd
Ste 4
Dexter, MO 63841
Phone (573) 785-4546

1117 Maple St
Farmington, MO 63640
Phone (537) 332-7746

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 18

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.

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1146787200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1769385600000",
    "number": "1992753289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1723 BROADWAY ST STE 410",
            "city": "CAPE GIRARDEAU",
            "state": "MO",
            "postal_code": "637014556",
            "telephone_number": "573-332-7746",
            "fax_number": "573-339-9709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1723 BROADWAY",
            "address_2": "SUITE 410",
            "city": "CAPE GIRARDEAU",
            "state": "MO",
            "postal_code": "63701",
            "telephone_number": "573-332-7746",
            "fax_number": "573-339-9709"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1117 Maple St",
            "address_purpose": "LOCATION",
            "city": "Farmington",
            "state": "MO",
            "postal_code": "636407640",
            "country_code": "US",
            "telephone_number": "573-332-7746",
            "fax_number": "573-339-9709",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1300 North Mile Road",
            "address_2": "Suite 1",
            "address_purpose": "LOCATION",
            "city": "Dexter",
            "state": "MO",
            "postal_code": "638411001",
            "country_code": "US",
            "telephone_number": "573-332-7746",
            "fax_number": "573-339-9709",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "REGIONAL BRAIN & SPINE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-05",
        "last_updated": "2026-01-26",
        "certification_date": "2026-01-26",
        "status": "A",
        "authorized_official_last_name": "MORGAN",
        "authorized_official_first_name": "TARA",
        "authorized_official_title_or_position": "BUSINESS OFFICE MGR",
        "authorized_official_telephone_number": "573-275-7715"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cape Girardeau, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.