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CRESTVIEW NEUROLOGY
NPI 1194911768
Psychiatry & Neurology - Neurology in Crestview, FL

Active since September 18, 2007
535 S FERDON BLVD, SUITE C, CRESTVIEW, FL 32536(850) 423-4664(850) 398-8824 Get Directions Write a Review

NPPES record last updated: November 19, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 19, 2025, Nov 14, 2025 (2 updates tracked since 2025).

About Crestview Neurology NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CRESTVIEW NEUROLOGY (NPI 1194911768) is a healthcare organization registered as a neurology in Crestview, Florida and active in the NPI registry since September 2007. The organization lists Shijun Pan, Sole Owner, as its authorized official.

NPPES Registry Identity

NPI1194911768
Entity TypeOrganization
Primary Taxonomy2084N0400X
Legal Business NameCRESTVIEW NEUROLOGY
Location Address535 S FERDON BLVD, SUITE CCrestview, FL 32536-4446
Mailing Address535 S Ferdon Blvd Ste CCrestview, FL 32536-4446 · (850) 423-4664 · Fax (850) 398-8824
Phone(850) 423-4664
Fax(850) 398-8824
Organization SubpartNo
Authorized OfficialShijun PanSole Owner · (850) 424-4664
Enumeration DateSeptember 18, 2007
Last NPPES UpdateNovember 19, 20252 updates tracked since enumeration
NPPES CertifiedNovember 19, 2025
✔ NPI 1194911768 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
Definition
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.
535 S FERDON BLVD, Crestview, FL 32536
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DAVID WAYNE COX
Technician/Technologist (Optician)
535 S FERDON BLVD
CRESTVIEW, FL 32536
Okaloosa County (850) 331-3918

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Crestview Neurology's NPI number?

The NPI number for Crestview Neurology is 1194911768. It was assigned to this organization in the NPPES registry on September 18, 2007.

Where is Crestview Neurology located?

Crestview Neurology is located at 535 S Ferdon Blvd Suite C, Crestview, FL 32536. The listed phone number is (850) 423-4664.

What is Crestview Neurology's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

When was this NPI record last updated?

The NPPES record for Crestview Neurology was last updated on November 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.