| Neurology Services, Inc. | |
|
2296 Opitz Blvd Suite 360 Woodbridge VA 22191-3300 | |
| (703) 878-0600 | |
| (703) 878-3747 |
| Full Name | Neurology Services, Inc. |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 2296 Opitz Blvd, Woodbridge, Virginia |
| Authorized Official Name and Position | Peter G Bernad (PRESIDENT) |
| Authorized Official Contact | 7038780600 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Neurology Services, Inc. 2296 Opitz Blvd Suite 360 Woodbridge VA 22191-3300 Ph: (703) 878-0600 | Neurology Services, Inc. 2296 Opitz Blvd Suite 360 Woodbridge VA 22191-3300 Ph: (703) 878-0600 |
| NPI Number | 1902877046 |
|---|---|
| Provider Enumeration Date | 01/27/2006 |
| Last Update Date | 02/02/2010 |
| Medicare PECOS PAC ID | 9537117858 |
|---|---|
| Medicare Enrollment ID | O20050104000330 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902877046 | NPI | - | NPPES |
| 130013905 | Other | VA | RAILROAD MEDICARE |
| 6195806 | Medicaid | VA | |
| 219291801 | Medicaid | MD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | 99001895 (Virginia) | Primary |
| Provider Name | Peter G Bernad |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1336110477 PECOS PAC ID: 5496795668 Enrollment ID: I20101011000613 |
| Provider Name | Mary E Taylor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134313760 PECOS PAC ID: 3072805746 Enrollment ID: I20160718000783 |
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