Panacea Brain and Spine, LLC
NPI 1457622763 · Neurological Surgery Physician · Lake Havasu City, AZ
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Panacea Brain and Spine, LLC is a Neurological Surgery Physician organization in Lake Havasu City, AZ (NPI 1457622763).
Provider details
- NPI number
- 1457622763
- Entity type
- Organization
- Primary specialty
- Neurological Surgery PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Chad Hartley, Owner(720) 883-1593
- License
- 46605 (AZ)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
3 documented practice locations
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
Mailing address
Additional practice locations (2)
- 13677 W Mcdowell RdGoodyear, AZ 85395-2635Phone: (928) 453-2211Fax: (928) 453-2219
- 1200 W Mohave RdParker, AZ 85344-6349Phone: (928) 453-2211Fax: (928) 453-2219
Registry dates
- Enumerated
- 2012-01-18
- Last updated
- 2020-06-29
- Certified
- 2020-06-29
Frequently asked questions
- What is Panacea Brain and Spine, LLC's NPI number?
- Panacea Brain and Spine, LLC's National Provider Identifier (NPI) is 1457622763, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Panacea Brain and Spine, LLC?
- Panacea Brain and Spine, LLC is classified in the NPPES registry as Neurological Surgery Physician (Allopathic & Osteopathic Physicians).
- Where is Panacea Brain and Spine, LLC located?
- Panacea Brain and Spine, LLC's practice location on file with NPPES is 72 Lake Havasu Ave S Ste 102, Lake Havasu City, AZ 86403-0857.
- What is Panacea Brain and Spine, LLC's phone number?
- The practice phone number listed in the NPPES registry for Panacea Brain and Spine, LLC is (928) 453-2211.
- Does Panacea Brain and Spine, LLC accept Medicare?
- Panacea Brain and Spine, LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Panacea Brain and Spine, LLC?
- The authorized official listed on Panacea Brain and Spine, LLC's NPPES record is Chad Hartley, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Panacea Brain and Spine, LLC's NPI active?
- Yes — Panacea Brain and Spine, LLC's NPI (1457622763) is active in the NPPES registry as of the last update on 2020-06-29.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.