| Neurology Specialists, Pc | |
|
813 W 2nd St Bloomington IN 47403-2212 | |
| (812) 330-0303 | |
| (812) 330-0404 |
| Full Name | Neurology Specialists, Pc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 813 W 2nd St, Bloomington, Indiana |
| Authorized Official Name and Position | Jamie Carol Bales (PRESIDENT) |
| Authorized Official Contact | 8123300303 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Neurology Specialists, Pc 813 W 2nd St Bloomington IN 47403-2212 Ph: (812) 330-0303 | Neurology Specialists, Pc 813 W 2nd St Bloomington IN 47403-2212 Ph: (812) 330-0303 |
| NPI Number | 1194865642 |
|---|---|
| Provider Enumeration Date | 02/07/2007 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 6901873785 |
|---|---|
| Medicare Enrollment ID | O20100617000512 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194865642 | NPI | - | NPPES |
| Provider Name | Brian Harold Moore |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1871554527 PECOS PAC ID: 3779538178 Enrollment ID: I20050318000267 |
| Provider Name | Jamie Carol Bales |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1407817158 PECOS PAC ID: 0547237323 Enrollment ID: I20100624000839 |
| Provider Name | Sonia J Pruett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558963751 PECOS PAC ID: 3678985157 Enrollment ID: I20201208001600 |
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