PREMIER BRAIN AND SPINE LLC NPI 1952169245

NPI Information

NPI: 1952169245
Provider Name: PREMIER BRAIN AND SPINE LLC
Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
Entity Type: Organization
:
CLIA Number: 31D2036701
Address: 807 N HADDON AVE STE 1
HADDONFIELD, NJ
ZIP 08033
Phone: (856) 330-6260

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NPI Details

PREMIER BRAIN AND SPINE LLC is a durable medical equipment medical supplies in Haddonfield, 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 1952169245. The provider is registered as an organization entity type and is a multi-specialty group.
The provider .

The provider's business location address is:

807 N HADDON AVE STE 1
HADDONFIELD, NJ
ZIP 08033-749
Phone: (856) 330-6260
Fax: (833) 606-0166

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 CLIA number assigned to this NPI record is 31D2036701 - physician office with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 3/11/2024 and was last updated on 2/6/2025.

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	111N00000X	Chiropractor		No
2	207T00000X	Neurological Surgery		No
3	207X00000X	Orthopaedic Surgery		No
4	207XS0117X	Orthopaedic Surgery	Orthopaedic Surgery of the Spine	No
5	208100000X	Physical Medicine & Rehabilitation		No
6	208VP0000X	Pain Medicine	Pain Medicine	No
7	208VP0014X	Pain Medicine	Interventional Pain Medicine	No
8	225100000X	Physical Therapist		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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