NPI 1043130651

Fort Wayne Brain & Spine Center LLC

Organisation Neurological Surgery Physician Fort Wayne, IN

Practice location

Address: 7900 W Jefferson Blvd STE 302, Fort Wayne, IN 46804-4128
Phone: (111) 111-1111
Mailing address: 7910 W Jefferson Blvd STE 205b, Fort Wayne, IN 46804-0072

Authorised official

Name: Shahnawaz Qureshi
Title: Owner
Phone: (111) 111-1111

Registered specialties

Neurological Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207T00000X

Other Neurological Surgery providers in Indiana →

Registry record

NPI: 1043130651
Entity type: Organization
NPI issued: 16 Jul 2026
Record last updated: 5 Aug 2026

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.