Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

East Tennessee Brain & Spine Center, PC

Neurological Surgery Physician in Johnson City, TN · enumerated 2006 · authorized official David Wiles, President.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1366452914

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Registry record

Entity type Organization (Type 2)

Legal business name East Tennessee Brain & Spine Center, PC

Practice address 701 Med Tech Pkwy, Suite 300, Johnson City, TN, 37604

Phone (423) 232-8301

Fax (423) 232-8304

Enumeration date Aug 8, 2006

Last updated in NPPES Jun 6, 2012

Taxonomy & classification

207T00000X Neurological Surgery Physician Allopathic & Osteopathic Physicians Primary

363AS0400X Surgical Physician Assistant Physician Assistants & Advanced Practice Nursing Providers Secondary

363LA2200X Adult Health Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers Secondary

363LF0000X Family Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers Secondary

Authorized official

Name David Wiles

Title President

Phone (423) 232-8301

Other identifiers

Identifier	Type	State	Issuer
4069221	Other	TN	BLUE CROSS/BLUE SHIELD
3721061	Medicaid	TN	-
1366452914	Medicaid	VA	-
5903904	Medicaid	NC	-
7100132610	Medicaid	KY	-

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Where is East Tennessee Brain & Spine Center, PC located?

The practice location on file with NPPES is in Johnson City, TN.

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2012-06-06. Verify at npiregistry.cms.hhs.gov.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2012-06-06.