Petersen Neurospine, PLLC
NPI 1639710882ActiveOrganization· Orthopaedic Surgery, Orthopaedic Surgery of the Spine· Mobile, AL
Orthopaedic Surgery, Orthopaedic Surgery of the Spine in Mobile, Alabama, registered in NPPES in September 2019. The authorized official on file is Bendt P. Petersen, MD, Physician. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1639710882 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Sep 30, 2019 |
| Last updated in NPPES | Aug 4, 2022 |
| Certified by provider | Aug 4, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Orthopaedic Surgery, Orthopaedic Surgery of the Spine Primary | 207XS0117X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (AL) |
|---|
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