GREAT LAKES BRAIN SPINE SURGERY AND PAIN CENTER PLLC
NPI 1780056630
Neurological Surgery in Flint, MI

Active since October 30, 2015
3380 BEECHER ROAD, STE A, FLINT, MI 48532(810) 720-2900 Get Directions Write a Review

NPPES record last updated: November 17, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Nov 17, 2025, Jan 2, 2019 (2 updates tracked since 2019).

About Great Lakes Brain Spine Surgery And Pain Center Pllc NPPES

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

GREAT LAKES BRAIN SPINE SURGERY AND PAIN CENTER PLLC (NPI 1780056630) is a healthcare organization registered as a neurological surgery in Flint, Michigan and active in the NPI registry since October 2015. The organization lists Vivekanand Palavali, Doctor, as its authorized official.

NPPES Registry Identity

NPI1780056630
Entity TypeOrganization
Primary Taxonomy207T00000X
Legal Business NameGREAT LAKES BRAIN SPINE SURGERY AND PAIN CENTER PLLC
Location Address3380 BEECHER ROAD, STE AFlint, MI 48532-4853
Mailing Address3380 Beecher Road, Ste AFlint, MI 48532-4737 · (810) 820-6311
Organization SubpartNo
Authorized OfficialVivekanand PalavaliDoctor · (810) 820-6311
Enumeration DateOctober 30, 2015
Last NPPES UpdateNovember 17, 20252 updates tracked since enumeration
NPPES CertifiedNovember 17, 2025
✔ NPI 1780056630 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.
3380 BEECHER ROAD, Flint, MI 48532

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)

Great Lakes Brain Spine Surgery And Pain Center Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Great Lakes Brain Spine Surgery And Pain Center PLLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Neurosurgery
NPI 1881672962
3380 BEECHER ROAD STE A
Flint, MI 48532
(810) 820-6311
✔ 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 Great Lakes Brain Spine Surgery And Pain Center PLLC's NPI number?

The NPI number for Great Lakes Brain Spine Surgery And Pain Center PLLC is 1780056630. It was assigned to this organization in the NPPES registry on October 30, 2015.

Where is Great Lakes Brain Spine Surgery And Pain Center PLLC located?

Great Lakes Brain Spine Surgery And Pain Center PLLC is located at 3380 Beecher Road Ste A, Flint, MI 48532. The listed phone number is (810) 720-2900.

What is Great Lakes Brain Spine Surgery And Pain Center PLLC's specialty?

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

Is Great Lakes Brain Spine Surgery And Pain Center PLLC enrolled in Medicare?

Yes. Great Lakes Brain Spine Surgery And Pain Center PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Great Lakes Brain Spine Surgery And Pain Center PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Neurosurgery) reassigns their Medicare billing to Great Lakes Brain Spine Surgery And Pain Center 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Great Lakes Brain Spine Surgery And Pain Center PLLC accept?

Health plans from Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Great Lakes Brain Spine Surgery And Pain Center 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 Great Lakes Brain Spine Surgery And Pain Center PLLC was last updated on November 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.