AXIS BRAIN AND BACK INSTITUTE PLLC
AXIS BRAIN AND BACK INSTITUTE PLLC is an organization registered with the National Plan and Provider Enumeration System (NPPES) under NPI 1689085193, based in Southlake, TX. The organization lists 4 taxonomy classifications, with Neurological Surgery Physician recorded as primary.
Getting there
The practice address on file is 1110 E STATE HIGHWAY 114 STE 100, Southlake, TX 76092. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.
Credentials and Medicare
| Licence | State | Specialty |
|---|---|---|
| P9148 | TX | Neurological Surgery Physician primary |
This provider holds licence P9148 issued in TX. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.
- Status
- Approved
- Provider type
- Part B Supplier - Clinic/group Practice
- PAC ID
- 0042432015
Enrolled in Medicare 2 times, across 1 state:
| State | Enrollment ID | Provider type |
|---|---|---|
| Texas | O20141106000405 | Part B Supplier - Clinic/group Practice |
| Texas | O20150218001063 | Dme Supplier - Physician - Neurosurgery |
Medicare enrolment is recorded as approved under the provider type Part B Supplier - Clinic/group Practice. There are 2 separate enrolment records. Multiple enrolments usually mean the provider bills Medicare from more than one practice location, or has kept an earlier enrolment after moving. Each record carries its own enrolment ID, listed above. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.
What Neurological Surgery covers
A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution. NUCC Health Care Provider Taxonomy, code 207T00000X
All registered taxonomy codes
This provider registers 4 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.
| Code | Specialty | Licence | State | |
|---|---|---|---|---|
| 207T00000X | Neurological Surgery Physician | P9148 | TX | primary |
| 2081P2900X | Pain Medicine (Physical Medicine & Rehabilitation) Physician Pain Medicine | — | — | |
| 225100000X | Physical Therapist | — | — | |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | — |
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-2 identifies an organization — a clinic, hospital, group practice, laboratory, or supplier. Individual clinicians working there hold their own NPI-1 numbers separately, so a bill may reference both.
| NPI | 1689085193 valid check digit |
|---|---|
| Entity type | Organization (NPI-2) |
| Enumeration date | May 19, 2014 |
| Last updated | Aug 28, 2025 |
| Status | Active |
| Practice address |
1110 E STATE HIGHWAY 114 STE 100 Southlake, TX 76092 (817) 502-7411 Fax (817) 502-7412 |
| Other identifiers |
00E4E2
· Other (TX) 7273750001 · Other |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 6 | 8 | 9 | 0 | 8 | 5 | 1 | 9 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 6 | 7 | 9 | 0 | 8 | 1 | 1 | 9 |
Sum = 67 · next multiple of 10 = 70 · check digit = 3 · actual last digit = 3
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.