JACKSONVILLE BRAIN & SPINE PLLC
NPI 1336651009
Neurological Surgery in Jacksonville, FL

Active since November 02, 2017
7807 BAYMEADOWS RD E STE 208, JACKSONVILLE, FL 32256(904) 330-0302(904) 330-0418 Get Directions Write a Review

NPPES record last updated: January 8, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jan 8, 2026, May 30, 2025, Feb 15, 2018 and 2 more (5 updates tracked since 2017).

About Jacksonville Brain & Spine Pllc NPPES

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

JACKSONVILLE BRAIN & SPINE PLLC (NPI 1336651009) is a healthcare organization registered as a neurological surgery in Jacksonville, Florida and active in the NPI registry since November 2017. The organization lists Michael J Petr, Owner, as its authorized official.

NPPES Registry Identity

NPI1336651009
Entity TypeOrganization
Primary Taxonomy207T00000X
Legal Business NameJACKSONVILLE BRAIN & SPINE PLLC
Location Address7807 BAYMEADOWS RD E STE 208Jacksonville, FL 32256-9666
Mailing Address7807 Baymeadows Rd E Ste 208Jacksonville, FL 32256-9666 · (904) 330-0302 · Fax (904) 330-0418
Fax(904) 330-0418
Organization SubpartNo
Authorized OfficialMichael J PetrOwner · (513) 284-6634
Enumeration DateNovember 2, 2017
Last NPPES UpdateJanuary 8, 20265 updates tracked since enumeration
NPPES CertifiedJanuary 8, 2026
✔ NPI 1336651009 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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.
7807 BAYMEADOWS RD E STE 208, Jacksonville, FL 32256

Other Identifiers 1

Medicaid127850000FL

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE 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)

Jacksonville Brain & Spine Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

6

Medicare enrollment records show 6 clinicians reassign Medicare billing to Jacksonville Brain & Spine PLLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 6 within 10 miles. They are listed nearest first.

Clinicians, nearest first (6)

Nurse Practitioner
NPI 1326305608
7807 BAYMEADOWS RD E STE 208
Jacksonville, FL 32256
(904) 330-0302
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1346757705
7807 BAYMEADOWS RD E STE 208
Jacksonville, FL 32256
(904) 330-0302
✔ PECOS✔ Accepts Medicare4.9 mi
Neurosurgery
NPI 1477754513
7807 BAYMEADOWS RD E STE 208
Jacksonville, FL 32256
(904) 446-9991
✔ PECOS✔ Accepts Medicare4.9 mi
Nurse Practitioner
NPI 1518679745
5191 FIRST COAST TECH PKWY FL 3
Jacksonville, FL 32224
(904) 223-3321
✔ PECOS✔ Accepts Medicare7.6 mi
Nurse Practitioner
NPI 1437670643
800 PRUDENTIAL DR
Jacksonville, FL 32207
✔ PECOS7.9 mi
Nurse Practitioner
NPI 1821738006
4500 SAN PABLO RD S
Jacksonville, FL 32224
(904) 953-2000
✔ PECOS✔ Accepts Medicare9.3 mi

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 Jacksonville Brain & Spine PLLC's NPI number?

The NPI number for Jacksonville Brain & Spine PLLC is 1336651009. It was assigned to this organization in the NPPES registry on November 2, 2017.

Where is Jacksonville Brain & Spine PLLC located?

Jacksonville Brain & Spine PLLC is located at 7807 Baymeadows Rd E Ste 208, Jacksonville, FL 32256. The listed phone number is (904) 330-0302.

What is Jacksonville Brain & Spine PLLC's specialty?

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

Is Jacksonville Brain & Spine PLLC enrolled in Medicare?

Yes. Jacksonville Brain & Spine PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Jacksonville Brain & Spine PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 6 clinicians in 2 Medicare specialties reassign their Medicare billing to Jacksonville Brain & Spine 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 Nurse Practitioner (5) and Neurosurgery (1). Of these, 1 practice at this address and 6 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Jacksonville Brain & Spine PLLC accept?

Health plans from Ambetter Health, Ambetter of Alabama and AvMed list Jacksonville Brain & Spine 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 Jacksonville Brain & Spine PLLC was last updated on January 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months 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.