OrganizationActive
Minnesota Neurovascular & Skull Base Surgery
NPI 1215059878 · Neurological Surgery Physician · Minneapolis, MN
Provider details
- NPI number
- 1215059878
- Entity type
- Organization
- Primary specialty
- Neurological Surgery PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Eric Nussbaum, Owner(612) 374-0177
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
3033 Excelsior Blvd
Suite 403
Minneapolis, MN 55416-4688
Phone: (612) 374-0177
Fax: (612) 374-0893
Street-level locationGet directions
Mailing address
3901 W 25th St
Saint Louis Park, MN 55416-3803
Registry dates
- Enumerated
- 2007-04-04
- Last updated
- 2008-03-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.