NEUROLOGY SPECIALISTS, PC (NPI# 1194865642) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194865642 |
| Entity Type | Organization |
| Organization Name | NEUROLOGY SPECIALISTS, PC |
| Practice Address |
813 W 2nd St Bloomington IN 47403-2212 |
| Practice Telephone | 8123300303 |
| Practice Fax Number | 8123300404 |
| Mailing Telephone | 8123300303 |
| Mailing Fax Number | 8123300404 |
| Enumeration Date | 2007-02-07 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. JAMIE CAROL BALES (PRESIDENT) |
| Authorized Official Telephone | 8123300303 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
01060196A | IN | Allopathic & Osteopathic Physicians |
| X | 363AM0700X |
Physician Assistant Specialization: Medical |
10000690A | IN | Physician Assistants & Advanced Practice Nursing Providers |
| X | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
IN | Allopathic & Osteopathic Physicians |
| Street Address |
813 W 2ND ST |
| City | BLOOMINGTON |
| State | IN |
| Zip Code | 47403-2212 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871554527 | Brian Harold Moore | Specialist | 813 W 2nd St, Bloomington, IN 47403-2212 | 2006-03-31 |
| 1033605845 | Cheyenne Olivia Powers | Physician Assistant | 813 W 2nd St, Bloomington, IN 47403-2212 | 2018-07-03 |
| 1407817158 | Jamie Carol Bales | Specialist | 813 W 2nd St, Bloomington, IN 47403-2212 | 2006-03-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043783673 | Brook Whitaker | Registered Nurse | 4011 S. Monroe Medical Park Blvd, Bloomington, IN 47403 | 2019-01-07 |
| 1598251175 | Jacob Edward Lundorf | Nurse Practitioner | 2100 S Liberty Dr Ste B, Bloomington, IN 47403 | 2018-07-06 |
| 1568973717 | Gregory Thomas Dougan | Physician Assistant | 418 South Landmark Avenue, Bloomington, IN 47403 | 2017-10-16 |
| 1295276160 | Indiana Center for Recovery, LLC | Substance Abuse Rehabilitation Facility | 1004 W 1st Street, Bloomington, IN 47403 | 2017-03-13 |
| 1144694217 | Kayla Dewolf | Specialist/Technologist | 1471 W Allen St, Bloomington, IN 47403 | 2015-11-30 |
| 1164806444 | Monroe Hosoital | General Acute Care Hospital | 4011 Monroe Medical Park, Bloomington, IN 47403 | 2015-07-16 |
| 1821411588 | Jennifer Turner | Occupational Therapy Assistant | 1023 West Main St, Swiss Villa, Vevay, IN 47403 | 2014-01-30 |
| 1104170232 | Kendall Basore | Social Worker | 445 S. Landmark Ave., Bloomington, IN 47403 | 2012-10-26 |
| 1568715886 | Indiana Hearing LLC | Hearing Aid Equipment | 2019 S Liberty Dr, Bloomington, IN 47403 | 2012-10-24 |
| 1679870232 | Accurate Hearing Services | Clinic/Center | 1355 W Second St, #3, Bloomington, IN 47403 | 2011-02-17 |
| Find all providers in zip 47403 | ||||
| Taxonomy Code | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083848550 | David W Harvey | Psychiatry & Neurology | 321 S Landmark Ave, Bloomington, IN 47403-5001 | 2009-05-12 |
| 1568667772 | Edward W Pegg Md, LLC | Psychiatry & Neurology | 1505 Eastland Dr Ste 2400, Bloomington, IL 61701-7911 | 2007-06-18 |
| 1245248293 | Jameson Daniel Way | Psychiatry & Neurology | 2315 E 3rd St, Bloomington, IN 47401-5320 | 2006-08-04 |
| 1760431712 | Mclean County Neurology Sc | Psychiatry & Neurology | 2204 Eastland Dr, Bloomington, IL 61704-3566 | 2006-05-08 |
| 1689150948 | Barbara Luann Weis | Psychiatry & Neurology | 1701 E College Ave, Bloomington, IL 61704-2101 | 2018-07-18 |
| 1770038069 | Supriya Kairamkonda | Psychiatry & Neurology | 583 S Clarizz Blvd, Bloomington, IN 47401-5515 | 2016-08-17 |
| 1336403237 | Derrick Alwyn Fox | Psychiatry & Neurology | 1701 E College Ave, Bloomington, IL 61704-2101 | 2012-06-26 |
| 1477875938 | Mehyar Mehrizi | Psychiatry & Neurology | 583 S Clarizz Blvd, Bloomington, IN 47401-5515 | 2010-02-24 |
| 1326233271 | Barry Jay Riskin | Psychiatry & Neurology | 2502 E Empire St, Bloomington, IL 61704-3738 | 2007-09-12 |
| 1043392160 | Edward W Pegg IIi | Psychiatry & Neurology | 1505 Eastland Dr, Suite 2400, Bloomington, IL 61701-3534 | 2006-10-19 |
| Find all providers in BLOOMINGTON | ||||
| City | BLOOMINGTON |
| Zip Code | 47403 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.