PREMIER BRAIN AND SPINE LLC NPI 1811780968

NPI Information

NPI: 1811780968
Provider Name: PREMIER BRAIN AND SPINE LLC
Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
Entity Type: Organization
Address: 408 CHRIS GAUPP DR STE 250
GALLOWAY, NJ
ZIP 08205
Phone: (856) 222-4444

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NPI Details

PREMIER BRAIN AND SPINE LLC is a durable medical equipment medical supplies in Galloway, NJ. The provider is a supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time. PREMIER BRAIN AND SPINE LLC NPI is 1811780968. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

408 CHRIS GAUPP DR STE 250
GALLOWAY, NJ
ZIP 08205-490
Phone: (856) 222-4444

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

The enumeration date for this NPI number is 5/22/2025 and was last updated on 5/22/2025.

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	Primary
1	207XS0117X	Orthopaedic Surgery	Orthopaedic Surgery of the Spine	No
2	208100000X	Physical Medicine & Rehabilitation		No
3	111N00000X	Chiropractor		No
4	208VP0000X	Pain Medicine	Pain Medicine	No
5	207T00000X	Neurological Surgery		No
6	208VP0014X	Pain Medicine	Interventional Pain Medicine	No
7	225100000X	Physical Therapist		No
8	207X00000X	Orthopaedic Surgery		No
9	332B00000X	Durable Medical Equipment & Medical Supplies		Yes

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: 11/21/2025

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