PETERSEN NEUROSPINE, PLLC
NPI 1639710882
Orthopaedic Surgery - Orthopaedic Surgery of the Spine in Mobile, AL

Q: What is Petersen Neurospine, PLLC's NPI number?

The NPI number for Petersen Neurospine, PLLC is 1639710882. It was assigned to this organization in the NPPES registry on September 30, 2019.

Q: What is Petersen Neurospine, PLLC's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Orthopaedic Surgery of the Spine, with taxonomy code 207XS0117X.

Active since September 30, 2019

6701 AIRPORT BLVD, BUILDING D SUITE 100, MOBILE, AL 36608(251) 607-6117(251) 219-0746 Get Directions Write a Review

NPPES record last updated: August 4, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 4, 2022, Sep 30, 2019 (2 updates tracked since 2019).

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About Petersen Neurospine, Pllc NPPES

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

PETERSEN NEUROSPINE, PLLC (NPI 1639710882) is a healthcare organization registered as an orthopaedic surgery of the spine in Mobile, Alabama and active in the NPI registry since September 2019. The organization lists Bendt P Petersen, Physician, as its authorized official.

NPPES Registry Identity

NPI1639710882

Entity TypeOrganization

Primary Taxonomy207XS0117X

Legal Business NamePETERSEN NEUROSPINE, PLLC

Location Address6701 AIRPORT BLVD, BUILDING D SUITE 100Mobile, AL 36608-6765

Mailing Address6701 Airport Blvd, Building D Suite 100Mobile, AL 36608-6765 · (251) 607-6117 · Fax (251) 219-0746

Phone(251) 607-6117

Fax(251) 219-0746

Organization SubpartNo

Authorized OfficialBendt P PetersenPhysician · (251) 607-6117

Enumeration DateSeptember 30, 2019

Last NPPES UpdateAugust 4, 20222 updates tracked since enumeration

NPPES CertifiedAugust 4, 2022

✔ NPI 1639710882 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic Surgery · Orthopaedic Surgery of the SpineAllopathic & Osteopathic Physicians

Taxonomy Code207XS0117X

Definition

Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic surgeons of the spine deal with the evaluation and nonoperative and operative treatment of the full spectrum of primary spinal disorders including trauma, degenerative, deformity, tumor, and reconstructive.

6701 AIRPORT BLVD, Mobile, AL 36608

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Other Identifiers 1

Medicaid248545AL

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Petersen Neurospine, Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 3 clinicians reassign Medicare billing to Petersen Neurospine, PLLC, which bills Medicare for the services they deliver. Of these, 3 practice at this address. They are listed nearest first.

Clinicians, nearest first (3)

Rebecca Estes, CRNP

Nurse Practitioner

NPI 1710527098

6701 AIRPORT BLVD STE D100
Mobile, AL 36608

(251) 607-6117

✔ PECOS✔ Accepts MedicareSame address

Shireen Knowles, CRNP

Nurse Practitioner

NPI 1336441500

6701 AIRPORT BLVD STE D100
Mobile, AL 36608

(251) 607-6117

✔ PECOS✔ Accepts MedicareSame address

Bendt Petersen, M.D.

Orthopedic Surgery

NPI 1477510915

6701 AIRPORT BLVD STE 100
Mobile, AL 36608

(251) 607-6117

✔ PECOS✔ Accepts MedicareSame 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 Petersen Neurospine, PLLC's NPI number?

The NPI number for Petersen Neurospine, PLLC is 1639710882. It was assigned to this organization in the NPPES registry on September 30, 2019.

Where is Petersen Neurospine, PLLC located?

Petersen Neurospine, PLLC is located at 6701 Airport Blvd Building D Suite 100, Mobile, AL 36608. The listed phone number is (251) 607-6117.

What is Petersen Neurospine, PLLC's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Orthopaedic Surgery of the Spine, with taxonomy code 207XS0117X.

Is Petersen Neurospine, PLLC enrolled in Medicare?

Yes. Petersen Neurospine, PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Petersen Neurospine, PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Petersen Neurospine, PLLC, in Nurse Practitioner and Orthopedic Surgery. 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. Of these, 3 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Petersen Neurospine, PLLC was last updated on August 4, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.