BRAIN AND SPINE SPECIALISTS - NPI 1942317896 - Psychiatry & Neurology in Panama City, FL

Q: What is Brain And Spine LLC's NPI number?

The NPI number for Brain And Spine LLC is 1942317896. It was assigned to this organization in the NPPES registry on August 25, 2006. The provider is doing business as Brain And Spine Specialists.

Q: What is Brain And Spine LLC's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

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About Brain And Spine Specialists NPPES

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

BRAIN AND SPINE SPECIALISTS (NPI 1942317896) is a healthcare organization registered as a neurology in Panama City, Florida and active in the NPI registry since August 2006. The organization lists Kylie M Marlette, Credentialing Specialist, as its authorized official.

NPPES Registry Identity

NPI1942317896

Entity TypeOrganization

Primary Taxonomy2084N0400X

Legal Business NameBRAIN AND SPINE LLC

Location Address2202 STATE AVE STE 201Panama City, FL 32405-4582

Mailing Address2202 State Ave Ste 201Panama City, FL 32405-4582 · (850) 785-0029 · Fax (850) 785-7600

Phone(850) 785-0029

Fax(850) 785-7600

Organization SubpartNo

Authorized OfficialKylie M MarletteCredentialing Specialist · (850) 215-1593

Enumeration DateAugust 25, 2006

Last NPPES UpdateMay 1, 20233 updates tracked since enumeration

NPPES CertifiedMarch 8, 2023

✔ NPI 1942317896 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians

Taxonomy Code2084N0400X

Definition

A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.

Also ListedSpecialistTaxonomy 174400000X

2202 STATE AVE STE 201, Panama City, FL 32405

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Other Names 1

Doing Business AsBrain And Spine Specialists

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

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company).Insurance ›

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 10D2009645

Brain And Spine Center LLC · Panama City, FL

Expired · Jul 8, 2026

CLIA Number10D2009645

Laboratory TypePhysician Office

Certificate Effective DateJuly 9, 2024

Certificate Expiration DateJuly 8, 2026

Laboratory DirectorKamel Elzawahry

Laboratory Phone(850) 785-0029

Laboratory LocationBrain And Spine Center LLC2202 State Ave Ste 201, Panama City, FL 32405

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KAITLYN BLAIS

Nurse Practitioner (Family)