East Tennessee Brain & Spine Center, PC
NPI 1366452914ActiveOrganization· Neurological Surgery· Johnson City, TN
Neurological Surgery in Johnson City, Tennessee, registered in NPPES in August 2006. The authorized official on file is David A. Wiles, MD, President.
Overview
| NPI | 1366452914 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Aug 8, 2006 |
| Last updated in NPPES | Jun 6, 2012 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Neurological Surgery Primary | 207T00000X | — | TN |
| Physician Assistant, Surgical | 363AS0400X | — | TN |
| Nurse Practitioner, Adult Health | 363LA2200X | — | — |
| Nurse Practitioner, Family | 363LF0000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 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 |
|---|
Other Neurological Surgery providers in Johnson City
- 1417453440
- 1003152307
- 1073555934
- 1326030339
- 1194250142
- 1528009198
- 1629088364
- 1770549453
- 1750518544