JACKSONVILLE BRAIN & SPINE PLLC – NPI #1336651009
Neurological Surgery

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.

JACKSONVILLE BRAIN & SPINE PLLC is a neurological surgeon located in JACKSONVILLE, FL. NPPES has assigned the NPI number 1336651009 to JACKSONVILLE BRAIN & SPINE PLLC on November 02, 2017. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 207T00000X from the Health Care Provider Taxonomy code set, which is classified as Neurological Surgery.

The NPI profile was last updated on Jan 08, 2026. 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 JACKSONVILLE BRAIN & SPINE PLLC below.

NPI Profile for
JACKSONVILLE BRAIN & SPINE PLLC

NPI Number
1336651009
Enumeration Date

(more than 8 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
JACKSONVILLE BRAIN & SPINE PLLC
Primary location
7807 BAYMEADOWS RD E STE 208
JACKSONVILLE, FL 32256-9666
Phone: (904) 330-0302 Fax: (904) 330-0418
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
MICHAEL PETR
OWNER
Phone: (513) 284-6634
Updated
Certification Date
Jan 08, 2026

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.

Identifiers

Identifiers for JACKSONVILLE BRAIN & SPINE PLLC

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
medicaidFL127850000
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
207T00000X
- Neurological Surgery (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.