BRAIN & SPINE NEUROSURGERY, LLC (NPI# 1326187667) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326187667 |
| Entity Type | Organization |
| Organization Name | BRAIN & SPINE NEUROSURGERY, LLC |
| Practice Address |
1050 Se Monterey Rd Suite #102 Stuart FL 34994-4512 |
| Practice Telephone | 7724634033 |
| Practice Fax Number | 7724634034 |
| Mailing Telephone | 7724634033 |
| Mailing Fax Number | 7724634034 |
| Enumeration Date | 2007-02-05 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MRS. JODI L. DUDENEY (MANAGER) |
| Authorized Official Telephone | 7724634033 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QH0100X |
Clinic/Center Specialization: Health Service |
Ambulatory Health Care Facilities |
| Street Address |
1050 SE MONTEREY RD SUITE #102 |
| City | STUART |
| State | FL |
| Zip Code | 34994-4512 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720087737 | Rafael Angel Diaz | Optometrist | 1050 Se Monterey Rd, Ste 103, Stuart, FL 34994-4512 | 2005-07-20 |
| 1053772095 | Erin Shaw | Family Medicine | 1050 Se Monterey Rd, 201, Stuart, FL 34994-4512 | 2016-03-18 |
| 1851751895 | Cristina Maria Quintairos-raley | Physical Therapist | 1050 Se Monterey Rd, Suite 304, Stuart, FL 34994-4512 | 2016-03-03 |
| 1811365646 | Premier Neurology and Wellness Center, LLC | Specialist | 1050 Se Monterey Rd, Suite 302, Stuart, FL 34994-4512 | 2015-09-10 |
| 1861879223 | Ashley Erikson | Nurse Practitioner | 1050 Se Monterey Rd, Suite 202, Stuart, FL 34994-4512 | 2015-05-05 |
| 1700277217 | Samantha Ann Hamilton | Nurse Practitioner | 1050 Se Monterey Rd, 101, Stuart, FL 34994-4512 | 2015-02-05 |
| 1154731362 | Advanced Digestive Care of Stuart | Specialist | 1050 Se Monterey Rd, Suite 203, Stuart, FL 34994-4512 | 2014-04-28 |
| 1942553144 | Katz Pediatrics P.a. | Pediatrics | 1050 Se Monterey Rd, Ste 302, Stuart, FL 34994-4512 | 2012-10-25 |
| 1588936025 | Kelly L Carbonaro | Nurse Practitioner | 1050 Se Monterey Rd, #201, Stuart, FL 34994-4512 | 2012-01-30 |
| 1609164029 | Advanced Colorectal Surgery and Wellness | Colon & Rectal Surgery | 1050 Se Monterey Rd, Suite 202, Stuart, FL 34994-4512 | 2011-07-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912543711 | Prestige Medical Billing. Inc | Durable Medical Equipment & Medical Supplies | 2678 Se Willoughby Blvd, Stuart, FL 34994 | 2019-11-27 |
| 1780229203 | Katherine Ginn | Occupational Therapist | 809 Se Central Parkway, Stuart, FL 34994 | 2019-11-07 |
| 1972167294 | Melissa Callaham Lcsw | Social Worker | 900 East Ocean Blvd., Suite D-130, Office 26, Stuart, FL 34994 | 2019-04-23 |
| 1053881300 | Spencer Perna | Chiropractor | 632 Se Monterey Rd., Stuart, FL 34994 | 2018-11-29 |
| 1720563521 | National Vision Inc | Technician/Technologist | 2600 Southeast Federal Highway, Stuart, FL 34994 | 2018-09-27 |
| 1649767351 | Frank Alario Md & Associates | Non-Pharmacy Dispensing Site | 721 South Colorado Avenue, Stuart, FL 34994 | 2018-04-18 |
| 1609305499 | Wideline Thelemaque-claire | Behavior Technician | 900 E Ocean Blvd, Suite 130d, Stuart, FL 34994 | 2017-06-06 |
| 1316488984 | Jessica Gaffney | Social Worker | 416 Se Balboa Ave., Suite 200, Stuart, FL 34994 | 2017-03-16 |
| 1578012035 | Essentials Medical Group, LLC | Internal Medicine | 2694 Se Willoughby Blvd, Stuart, FL 34994 | 2016-09-26 |
| 1356898324 | Waters Edge Dermatology Global LLC | Surgery | 2601 S Kanner Highway, Stuart, FL 34994 | 2016-09-07 |
| Find all providers in zip 34994 | ||||
| Taxonomy Code | 261QH0100X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Health Service |
| Definition to come... |
| Notes: [7/1/2006: modified title] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770055410 | Caring Hearts Free Clinic of Patrick County | Clinic/Center | 835 Woodland Dr Ste 101, Stuart, VA 24171-1586 | 2018-12-19 |
| 1427501782 | Csi-pediatric Services, Inc. | Clinic/Center | 1788 Se Indian St, Unit J, K, Stuart, FL 34997-4919 | 2016-08-03 |
| 1063457570 | Donna Dyer Do Inc | Clinic/Center | 611 Sw Federal Hwy, Suite E, Stuart, FL 34994-2925 | 2006-06-18 |
| 1659726388 | Orchid Medi-center LLC | Clinic/Center | 104 Se Lonita St, Stuart, FL 34994-3447 | 2016-05-02 |
| 1528473089 | Jessica A. Wilks, Rd, Ldn, Inc. | Clinic/Center | 2030 Se Ocean Blvd, Stuart, FL 34996-3304 | 2014-06-24 |
| 1235431875 | Harmony Spine and Disc | Clinic/Center | 500 Se Dixie Hwy, Suite 2, Stuart, FL 34994-3054 | 2010-12-02 |
| 1538345657 | Dr Leon Gonyo Dc Pa | Clinic/Center | 6096 Se Federal Hwy, Stuart, FL 34997-8101 | 2008-01-18 |
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| 1285235945 | Trident Health Consultants,llc | Clinic/Center | 5781 Lee Blvd Ste 208-553, Lehigh Acres, FL 33971-6337 | 2020-11-07 |
| 1598366684 | New Health Chiropractic Wellness Center | Clinic/Center | 2695 N Military Trl Ste 17, West Palm Beach, FL 33409-2946 | 2020-11-04 |
| 1053919217 | Salei Primary Care Inc | Clinic/Center | 600 Parkview Dr Apt 402, Hallandale Beach, FL 33009-2970 | 2020-10-10 |
| 1285231548 | American Current Care P.a. | Clinic/Center | 1524 Normandy Village Pkwy, Jacksonville, FL 32221-3222 | 2020-10-08 |
| 1285240333 | Auto Accident Health & Rehab, LLC | Clinic/Center | 2140 Bruton Blvd, Orlando, FL 32805-5717 | 2020-09-23 |
| 1497361166 | Solutions To Home Care LLC | Clinic/Center | 3610 Pinehurst Dr, Lake Worth, FL 33467-0910 | 2020-09-18 |
| 1386259323 | Brandon Stem Cell Clinic LLC | Clinic/Center | 1602 Oakfield Dr Ste 101, Brandon, FL 33511-0827 | 2020-09-15 |
| 1285249987 | Derma Beauty Spa Medical Clinic | Clinic/Center | 1470 Nw 107th Ave Ste M, Sweetwater, FL 33172-2735 | 2020-09-10 |
| 1225642622 | Dor Medical Services | Clinic/Center | 103 Landings Blvd, Greenacres, FL 33413-2027 | 2020-09-02 |
| 1952915563 | Ngozi Global Healthcare | Clinic/Center | 626 Eastwood Ct, Altamonte Springs, FL 32714-7304 | 2020-09-01 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.