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PREMIER BRAIN AND SPINE LLC NPI 1922771377


NPI Information

NPI: 1922771377
Provider Name: PREMIER BRAIN AND SPINE, LLC

Doing Business As: INNOVATIVE SPINE AND PAIN

Classification: Neurological Surgery - 207T00000X
Entity Type: Organization
Address:
2500 MORRIS AVE STE 220
UNION, NJ
ZIP 07083
Phone: (738) 906-9600
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PREMIER BRAIN AND SPINE, LLC is a neurological surgery in Union, NJ. The provider is 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. PREMIER BRAIN AND SPINE, LLC NPI is 1922771377. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Innovative Spine And Pain.

The provider's business location address is:

2500 MORRIS AVE STE 220
UNION, NJ
ZIP 07083-675
Phone: (738) 906-9600
Fax: (732) 377-0393

The provider's authorized official is Eric D Freeman .
The authorized official title is Part-owner; Managing Member and has the following contact phone number (732) 906-9600.

The enumeration date for this NPI number is 7/30/2021 and was last updated on 3/26/2024.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1111N00000XChiropractorNo
2207T00000XNeurological SurgeryYes
3207X00000XOrthopaedic SurgeryNo
4207XS0117XOrthopaedic SurgeryOrthopaedic Surgery of the SpineNo
5208100000XPhysical Medicine & RehabilitationNo
62084P2900XPsychiatry & NeurologyPain MedicineNo
7208VP0014XPain MedicineInterventional Pain MedicineNo
8225100000XPhysical TherapistNo
9363AM0700XPhysician AssistantMedicalNo

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.