JACKSONVILLE BRAIN & SPINE PLLC
NPI 1336651009
Neurological Surgery in Jacksonville, FL
NPI Status: Active since November 02, 2017
Contact Information
7807 BAYMEADOWS RD E STE 208
JACKSONVILLE, FL
ZIP 32256
Phone: (904) 330-0302
Fax: (904) 330-0418
- Organization
- Neurological Surgery
- Accepts Insurance
About JACKSONVILLE BRAIN & SPINE PLLC
This page provides the complete NPI Profile along with additional information for Jacksonville Brain & Spine Pllc, a provider established in Jacksonville, Florida operating as a Neurological Surgery. The healthcare provider is registered in the NPI registry with number 1336651009 assigned on November 2017. The practitioner's primary taxonomy code is 207T00000X. The provider is registered as an organization and their NPI record was last updated May 2025. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Dr. Michael J Petr Md (Owner)
- NPI
- 1336651009
- Provider Name
- JACKSONVILLE BRAIN & SPINE PLLC
- Entity Type
- Organization
- Location Address
- 7807 BAYMEADOWS RD E STE 208 JACKSONVILLE, FL 32256
- Location Phone
- (904) 330-0302
- Location Fax
- (904) 330-0418
- Mailing Address
- 7807 BAYMEADOWS RD E STE 208 JACKSONVILLE, FL 32256
- Mailing Phone
- (904) 330-0302
- Mailing Fax
- (904) 330-0418
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 11-02-2017
- Last Update Date
- 05-30-2025
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Neurological Surgery
- Taxonomy Code
- 207T00000X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution.
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Clear VALUE Silver - HMO
- Complete VALUE Gold - HMO
- Focused VALUE Silver - HMO
- Focused VALUE Silver + Vision + Adult Dental - HMO
- Standard Gold VALUE - HMO
- Standard Silver VALUE - HMO
- Standard Silver VALUE + Vision + Adult Dental - HMO
- Complete Gold - HMO
- Complete Gold + Vision + Adult Dental - HMO
- Complete VALUE Gold - HMO
- Complete VALUE Silver - HMO
- Elite Bronze - HMO
- Elite Bronze + Vision + Adult Dental - HMO
- Elite Silver - HMO
- Elite Silver + Vision + Adult Dental - HMO
- Elite VALUE Bronze - HMO
- Enhanced Diabetes Care Silver with $0 Drug Options - HMO
- Complete Gold - EPO
- Complete Gold + Vision + Adult Dental - EPO
- Elite Bronze - EPO
- Elite Bronze + Vision + Adult Dental - EPO
- Elite Gold - EPO
- Elite Gold + Vision + Adult Dental - EPO
- Elite Silver - EPO
- Elite Silver + Vision + Adult Dental - EPO
- Everyday Bronze - EPO
- Everyday Bronze + Vision + Adult Dental - EPO
- AvMed Entrust Bronze 600 (2025) - HMO
- AvMed Entrust Bronze 650 (2025) - HMO
- AvMed Entrust Expanded Bronze Standard (2025) - HMO
- AvMed Entrust Gold 125 (2025) - HMO
- AvMed Entrust Gold 125 Dental+Vision (2025) - HMO
- AvMed Entrust Gold Standard (2025) - HMO
- AvMed Entrust Platinum 25 (2025) - HMO
- AvMed Entrust Platinum 25 Dental+Vision (2025) - HMO
- AvMed Entrust Platinum Standard (2025) - HMO
- AvMed Entrust Silver 350 (2025) - HMO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 023693100 | MEDICAID (05) | FL |
Reviews for JACKSONVILLE BRAIN & SPINE PLLC
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 3 | 3 | 6 | 6 | 5 | 1 | 0 | 0 | 9 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 3 | 6 | 6 | 12 | 5 | 2 | 0 | 0 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 3 + 6 + 6 + 1 + 2 + 5 + 2 + 0 + 0 + 24 = 51 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 51 = 9 | 9 | ||||||||
The NPI number 1336651009 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 3 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1346757705 | EVA M. KELLOGG ARNP Individual | Nurse Practitioner | 7807 BAYMEADOWS RD E STE 208 JACKSONVILLE, FL 32256 (904) 330-0302 |
| 1477754513 | MICHAEL J PETR MD, PHD Individual | Neurological Surgery | 7807 BAYMEADOWS RD E STE 208 JACKSONVILLE, FL 32256 (904) 446-9991 |
| 1326305608 | MR. GREGORY ALAN NORRIS JR. NP-C Individual | Nurse Practitioner (Family) | 7807 BAYMEADOWS RD E STE 208 JACKSONVILLE, FL 32256 (904) 330-0302 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1336651009, enumerated in the NPI registry as an "organization" on November 02, 2017
The provider is located at 7807 Baymeadows Rd E Ste 208 Jacksonville, Fl 32256 and the phone number is (904) 330-0302
This medical organization specializes in Neurological Surgery with taxonomy code 207T00000X
The provider might be accepting Accepts: Ambetter from Superior HealthPlan, Ambetter. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
This NPI record was last updated on November 02, 2017. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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