| Covenant Spine And Neurology, Pllc | |
|
280 Broad St Ste A Kernersville NC 27284-2948 | |
| (336) 716-4020 | |
| (336) 761-4051 |
| Full Name | Covenant Spine And Neurology, Pllc |
|---|---|
| Speciality | Neurological Surgery |
| Location | 280 Broad St Ste A, Kernersville, North Carolina |
| Authorized Official Name and Position | Sherry Beers (PRACTICE ADMINISTRATOR) |
| Authorized Official Contact | 3367614020 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Covenant Spine And Neurology, Pllc 280 Broad St Ste A Kernersville NC 27284-2948 Ph: (336) 761-4020 | Covenant Spine And Neurology, Pllc 280 Broad St Ste A Kernersville NC 27284-2948 Ph: (336) 716-4020 |
| NPI Number | 1265150494 |
|---|---|
| Provider Enumeration Date | 08/15/2022 |
| Last Update Date | 03/25/2025 |
| Certification Date | 03/25/2025 |
| Medicare PECOS PAC ID | 5395114300 |
|---|---|
| Medicare Enrollment ID | O20221214002261 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265150494 | NPI | - | NPPES |
| Provider Name | Andreas David Runheim |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1811948136 PECOS PAC ID: 5698788727 Enrollment ID: I20060713000145 |
| Provider Name | Alexander K Powers |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1134397714 PECOS PAC ID: 7315090610 Enrollment ID: I20090804000647 |
| Provider Name | Allyson K Bryant |
|---|---|
| Provider Type | Practitioner - Interventional Pain Management |
| Provider Identifiers | NPI Number: 1659548899 PECOS PAC ID: 3173742574 Enrollment ID: I20140917001741 |
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