SPINE CENTER OF EXCELLENCE LLC – NPI #1871235770
Clinic/Center

SPINE CENTER OF EXCELLENCE LLC is an AHC clinic located in BOSSIER CITY, LA. NPPES has assigned the NPI number 1871235770 to SPINE CENTER OF EXCELLENCE LLC on April 11, 2022. It is a Type-2 NPI, indicating this NPI number is associated with an organization. This provider is also associated with 2 additional names listed below. The primary taxonomy selected by this provider is 261QA1903X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Ambulatory Surgical

The NPI profile was last updated on Feb 06, 2025. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for SPINE CENTER OF EXCELLENCE LLC below.

NPI Profile for
SPINE CENTER OF EXCELLENCE LLC

NPI Number
1871235770
Enumeration Date

(more than 4 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
SPINE CENTER OF EXCELLENCE LLC
Other name(s)
All associated names:

Doing Business As (dba)
Spine Center of Excellence
Primary location
411 COLEMAN AVENUE
BOSSIER CITY, LA 71111
Phone: (318) 585-2000 Fax: (318) 585-0360
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
PIERCE NUNLEY
DIRECTOR/MANAGING MEMBER
Phone: (318) 585-2000
Updated
Certification Date
Feb 06, 2025

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QA1903X
- Clinic/Center / Ambulatory Surgical (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.