1. Home
  2. Directory
  3. Indiana
  4. Elkhart
  5. Psychiatry Neurology
  6. NPI Profile

ELKHART NEUROLOGY PC
NPI 1306976717
Psychiatry & Neurology - Neurology in Elkhart, IN

Active since March 06, 2007
2746 OLD US 20 W, SUITE A, ELKHART, IN 46514(574) 522-7624(574) 522-9405 Get Directions Write a Review

NPPES record last updated: May 5, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Elkhart Neurology Pc NPPES

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

ELKHART NEUROLOGY PC (NPI 1306976717) is a healthcare organization registered as a neurology in Elkhart, Indiana and active in the NPI registry since March 2007. The organization lists Patrick W Russell, President, as its authorized official.

NPPES Registry Identity

NPI1306976717
Entity TypeOrganization
Primary Taxonomy2084N0400X
Legal Business NameELKHART NEUROLOGY PC
Location Address2746 OLD US 20 W, SUITE AElkhart, IN 46514-1364
Mailing Address2746 Old Us 20 W, Suite AElkhart, IN 46514-1364 · (574) 522-7624 · Fax (574) 522-9405
Phone(574) 522-7624
Fax(574) 522-9405
Organization SubpartNo
Authorized OfficialPatrick W RussellPresident · (574) 522-7624
Enumeration DateMarch 6, 2007
Last NPPES UpdateMay 5, 2008
✔ NPI 1306976717 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
License✔ Licensed in IN · 02001219
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.
2746 OLD US 20 W, Elkhart, IN 46514
Open in Google Maps ↗

Other Identifiers 3

Medicare PIN186120AIN
Medicaid100114080BIN
Medicare UPINE84913IN

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 7

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

BOLING VISION CENTER, LLC
Ophthalmology
2746 OLD US 20 W
ELKHART, IN 46514
Elkhart County (574) 293-3545
DR. AMY H LAYMAN OD
Optometrist
2746 OLD US 20 W
ELKHART, IN 46514
Elkhart County (574) 293-3545
RICHARD CLAYTON BOLING II M.D.
Ophthalmology
2746 OLD US 20 W
ELKHART, IN 46514
Elkhart County (574) 293-3545
BOLING VISION CENTER, LLC
Eyewear Supplier
2746 OLD US 20 W
ELKHART, IN 46514
Elkhart County (574) 293-3545
WHITNEY BOLING M.D.
Ophthalmology
2746 OLD US 20 W, STE B
ELKHART, IN 46514
Elkhart County (574) 293-3545
KEVIN H EGAN OD
Optometrist
2746 OLD US 20 W
ELKHART, IN 46514
Elkhart County (574) 293-3545
DR. MARK ALLAN WALKER JR. O.D.
Optometrist
2746 OLD US 20 W
ELKHART, IN 46514
Elkhart County (574) 293-3545

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 Elkhart Neurology PC's NPI number?

The NPI number for Elkhart Neurology PC is 1306976717. It was assigned to this organization in the NPPES registry on March 6, 2007.

Where is Elkhart Neurology PC located?

Elkhart Neurology PC is located at 2746 Old Us 20 W Suite A, Elkhart, IN 46514. The listed phone number is (574) 522-7624.

What is Elkhart Neurology PC'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 Elkhart Neurology PC was last updated on May 5, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years 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.