Brain and Spine Instate for Children
NPI 1104166735ActiveOrganization· Preferred Provider Organization· Orlando, FL
Preferred Provider Organization in Orlando, Florida, registered in NPPES in February 2013. The authorized official on file is Keyne K. Johnson, M.D., Medical Director.
Overview
| NPI | 1104166735 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Feb 19, 2013 |
| Last updated in NPPES | Feb 19, 2013 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Preferred Provider Organization Primary | 305R00000X | ME 102412 | FL |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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