MEDICARE: BW NEUROSURGICAL PRACTICE LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2081P0004X	Spinal Cord Injury Medicine Physician
2	207T00000X	Neurological Surgery Physician

General Provider Information

NPI Number	:	1578430831
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BW NEUROSURGICAL PRACTICE LLC

Provider Business Mailing Address
First Line	:	1335 SLIGH BLVD FL 3
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32806-3901
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	513 BROOKWOOD BLVD STE 101
Second Line	:
City	:	HOMEWOOD
State	:	AL
Zip	:	35209-6878
Country	:	US
Telephone Number	:	205-933-8981
Fax Number	:	205-930-0746

Authorized Official
Title or Position	:	SVP, REVENUE MANAGEMENT & CRO
Name	:	MICHELE NAPIER
Credential	:
Telephone Number	:	321-841-3492

Provider Enumeration Date	:	10/21/2025
Last Update Date	:	01/16/2026

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