MICHIGAN SPINE AND BRAIN SURGEONS, PLLC
NPI 1336130863
Neurological Surgery in Southfield, MI

Active since November 03, 2005
22250 PROVIDENCE DR, SUITE 601, SOUTHFIELD, MI 48075(248) 569-7745(248) 569-4539 Get Directions Write a Review

NPPES record last updated: July 14, 2011. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Michigan Spine And Brain Surgeons, Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MICHIGAN SPINE AND BRAIN SURGEONS, PLLC (NPI 1336130863) is a healthcare organization registered as a neurological surgery in Southfield, Michigan and active in the NPI registry since November 2005. The organization lists Teck Mun Soo, President, as its authorized official.

NPPES Registry Identity

NPI1336130863
Entity TypeOrganization
Primary Taxonomy207T00000X
Legal Business NameMICHIGAN SPINE AND BRAIN SURGEONS, PLLC
Location Address22250 PROVIDENCE DR, SUITE 601Southfield, MI 48075-4825
Mailing Address22250 Providence Dr, Suite 601Southfield, MI 48075-4825 · (248) 569-7745 · Fax (248) 569-4539
Fax(248) 569-4539
Organization SubpartNo
Authorized OfficialTeck Mun SooPresident · (248) 569-7745
Enumeration DateNovember 3, 2005
Last NPPES UpdateJuly 14, 2011
✔ NPI 1336130863 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNeurological SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207T00000X
Definition
A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution.
22250 PROVIDENCE DR, Southfield, MI 48075

Other Identifiers 2

Other0F32853MI · Blue Cross
Medicare PIN0P20560MI

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Michigan Spine And Brain Surgeons, Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

7

Medicare enrollment records show 7 clinicians reassign Medicare billing to Michigan Spine And Brain Surgeons, PLLC, which bills Medicare for the services they deliver. Of these, 7 practice at this address. They are listed nearest first.

Clinicians, nearest first (7)

Orthopedic Surgery
NPI 1346234770
22250 PROVIDENCE DR SUITE 601
Southfield, MI 48075
(248) 569-7745
✔ PECOS✔ Accepts MedicareSame address
Neurosurgery
NPI 1114285707
22250 PROVIDENCE DR STE 601
Southfield, MI 48075
(248) 569-7745
✔ PECOS✔ Accepts MedicareSame address
Neurosurgery
NPI 1134579451
22250 PROVIDENCE DR STE 601
Southfield, MI 48075
(248) 569-7745
✔ PECOS✔ Accepts MedicareSame address
Neurosurgery
NPI 1093938482
22250 PROVIDENCE DR STE 601
Southfield, MI 48075
(248) 569-7745
✔ PECOS✔ Accepts MedicareSame address
Neurosurgery
NPI 1053536755
22250 PROVIDENCE DR STE 601
Southfield, MI 48075
(248) 569-7745
✔ PECOS✔ Accepts MedicareSame address
Neurosurgery
NPI 1952438269
22250 PROVIDENCE DR STE 601
Southfield, MI 48075
(248) 569-7745
✔ PECOS✔ Accepts MedicareSame address
Neurosurgery
NPI 1225020555
22250 PROVIDENCE DR SUITE 601
Southfield, MI 48075
(248) 569-7745
✔ PECOSSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Michigan Spine And Brain Surgeons, PLLC's NPI number?

The NPI number for Michigan Spine And Brain Surgeons, PLLC is 1336130863. It was assigned to this organization in the NPPES registry on November 3, 2005.

Where is Michigan Spine And Brain Surgeons, PLLC located?

Michigan Spine And Brain Surgeons, PLLC is located at 22250 Providence Dr Suite 601, Southfield, MI 48075. The listed phone number is (248) 569-7745.

What is Michigan Spine And Brain Surgeons, PLLC's specialty?

The primary specialty registered for this NPI is Neurological Surgery with taxonomy code 207T00000X.

Is Michigan Spine And Brain Surgeons, PLLC enrolled in Medicare?

Yes. Michigan Spine And Brain Surgeons, PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Michigan Spine And Brain Surgeons, PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 7 clinicians in 2 Medicare specialties reassign their Medicare billing to Michigan Spine And Brain Surgeons, PLLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Neurosurgery (6) and Orthopedic Surgery (1). Of these, 7 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Michigan Spine And Brain Surgeons, PLLC accept?

Health plans from Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Michigan Spine And Brain Surgeons, PLLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Michigan Spine And Brain Surgeons, PLLC was last updated on July 14, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.