Healthcare Provider Details

I. General information

NPI: 1407771280
Provider Name (Legal Business Name): BRAIN AND SPINE NETWORK: BAPTIST SEMMES-MURPHEY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/11/2026
Last Update Date: 08/11/2026
Certification Date: 08/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6305 HUMPHREYS BLVD STE 108
MEMPHIS TN
38120-2370
US

IV. Provider business mailing address

6305 HUMPHREYS BLVD STE 108
MEMPHIS TN
38120-2370
US

V. Phone/Fax

Practice location:
  • Phone: 901-227-8927
  • Fax:
Mailing address:
  • Phone: 901-227-8927
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207T00000X
TaxonomyNeurological Surgery Physician
License Number
License Number State

VIII. Authorized Official

Name: GREGORY M DUCKETT
Title or Position: REGISTERED AGENT
Credential:
Phone: 901-359-6197