Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

East Tennessee Brain & Spine Center, PC

Organization Neurological Surgery Physician · NPI 1366452914

East Tennessee Brain & Spine Center, PC is a Neurological Surgery Physician in Johnson City, Tennessee. Licensed in Tennessee. Registered with an NPI since 2006.

Licensed in
TN
In the registry since
2006
Specialties on file
4
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

701 Med Tech Pkwy Ste 300
Johnson City, TN 37604-2365
Phone: (423) 232-8301
Fax: (423) 232-8304
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Neurological Surgery Physician (primary) Taxonomy 207T00000X (TN)
Surgical Physician Assistant Taxonomy 363AS0400X (TN)
Adult Health Nurse Practitioner Taxonomy 363LA2200X
Family Nurse Practitioner Taxonomy 363LF0000X

Record details

NPI number1366452914
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official David Wiles — President · (423) 232-8301
NPI enumeratedAugust 8, 2006
Last updated in NPPESJune 6, 2012
Mailing addressPo Box 9150, Paducah, KY 42002-9150

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