Organization · Type 2 NPI

Fort Wayne Brain & Spine Center LLC

Neurological Surgery Physician · Fort Wayne, IN

NPI number 1043130651 Active

Practice location

7910 W Jefferson Blvd Ste 205B
Fort Wayne, IN 46804-0072

Call (111) 111-1111 Map

Specialties and licenses

TaxonomyCodeLicense
Neurological Surgery Physician Primary 207T00000XNone listed

Neurological Surgery Physician: 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 opera…

4 other providers at this address

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About NPI 1043130651

Fort Wayne Brain & Spine Center LLC's National Provider Identifier is 1043130651, issued on Jul 16, 2026. The primary taxonomy on file is Neurological Surgery Physician (207T00000X), and the practice location is in Fort Wayne, IN. The record was last updated on Aug 12, 2026.