BRAIN AND SPINE INSTITUTE OF PORT ORANGE, LLC
NPI 1699016949
Psychiatry & Neurology - Neurology in Port Orange, FL
About Brain And Spine Institute Of Port Orange, Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BRAIN AND SPINE INSTITUTE OF PORT ORANGE, LLC (NPI 1699016949) is a healthcare organization registered as a neurology in Port Orange, Florida and active in the NPI registry since March 2013. The organization holds a CLIA Waiver certificate valid through June 14, 2028 and lists Timothy Joseph Wierzbicki, Ceo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 4
Group Practice 1
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 10D2114491
Brain And Spine Institute Of Port Orange · Port Orange, FLOther Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
PORT ORANGE, FL 32127
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 Brain And Spine Institute Of Port Orange, LLC's NPI number?
The NPI number for Brain And Spine Institute Of Port Orange, LLC is 1699016949. It was assigned to this organization in the NPPES registry on March 12, 2013.
Where is Brain And Spine Institute Of Port Orange, LLC located?
Brain And Spine Institute Of Port Orange, LLC is located at 1211 Dunlawton Ave, Port Orange, FL 32127. The listed phone number is (386) 304-0111.
What is Brain And Spine Institute Of Port Orange, LLC's specialty?
The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.
Does Brain And Spine Institute Of Port Orange, LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 10D2114491) is associated with this NPI, valid through June 14, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Brain And Spine Institute Of Port Orange, LLC was last updated on March 15, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.
# Brain And Spine Institute Of Port Orange, Llc · NPI 1699016949
Neurology organization in Port Orange, Florida. Organization record, active in the CMS NPPES registry since March 12, 2013.
## Identity
- **NPI:** 1699016949 (Entity type: Organization)
- **Enumerated:** March 12, 2013
- **Primary specialty:** Psychiatry & Neurology - Neurology · taxonomy 2084N0400X
- **Organization subpart:** No
- **Authorized official:** Timothy Wierzbicki, CEO
## Practice location
- **Address:** 1211 DUNLAWTON AVE, Port Orange, FL 32127-2913
- **Phone:** (386) 304-0111
## Record status
- **NPPES last updated:** March 15, 2013
- **Other identifiers:** Medicare PIN 35363X (FL); Other 130022355 (FL); Medicaid 259058100 (FL); and 1 more
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1699016949) · Data from the CMS NPPES public registry.