BRAIN AND SPINE INSTITUTE OF SAN ANTONIO – Neurological Surgery Physician, NPI 1053932608
Neurological Surgery Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for BRAIN AND SPINE INSTITUTE OF SAN ANTONIO
PO BOX 4585, MSC#700
HOUSTON, TX 772104595
Phone: (210) 625-4733
Fax: (210) 625-4734
Type: Mailing
12709 TOEPPERWEIN RD STE 101
LIVE OAK, TX 782333259
Phone: (210) 625-4733
Fax: (210) 625-4734
Type: Location
12702 N Ih 35
Live Oak, TX 782332609
Phone: (210) 625-4733
Type: Location
1100 McCullough Ave
San Antonio, TX 782124813
Phone: (210) 625-4733
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2020-12-18
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2024-01-31 (859 days ago).
Enrollment records
2
Earliest due date
2024-01-31
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| O20200602002831 | O | Clinic/Group Practice | TX | 2025-12-31 |
| O20201218000957 | O | Physician - Neurosurgery | TX | 2024-01-31 |
What to do next
- Verify current status on the CMS Revalidation Lookup Tool immediately.
- Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
- Overdue revalidation can lead to deactivation of Medicare billing privileges.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 77210)
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