SOUTHFIELD NEUROLOGICAL ASSOC PC
NPI 1770794737
Specialist in Southfield, MI

Q: What is Southfield Neurological Assoc PC's NPI number?

The NPI number for Southfield Neurological Assoc PC is 1770794737. It was assigned to this organization in the NPPES registry on May 24, 2007.

Q: What is Southfield Neurological Assoc PC's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Active since May 24, 2007

22250 PROVIDENCE DR, SUITE 402, SOUTHFIELD, MI 48075(248) 559-3150(248) 559-8218 Get Directions Write a Review

NPPES record last updated: June 18, 2010. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Southfield Neurological Assoc Pc NPPES

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

SOUTHFIELD NEUROLOGICAL ASSOC PC (NPI 1770794737) is a healthcare organization registered as a specialist in Southfield, Michigan and active in the NPI registry since May 2007. The organization lists Bruce H Kole, President, as its authorized official.

NPPES Registry Identity

NPI1770794737

Entity TypeOrganization

Primary Taxonomy174400000X

Legal Business NameSOUTHFIELD NEUROLOGICAL ASSOC PC

Location Address22250 PROVIDENCE DR, SUITE 402Southfield, MI 48075-4825

Mailing Address22250 Providence Dr, Suite 402Southfield, MI 48075-4825 · (248) 559-3150 · Fax (248) 559-8218

Phone(248) 559-3150

Fax(248) 559-8218

Organization SubpartNo

Authorized OfficialBruce H KolePresident · (248) 559-3150

Enumeration DateMay 24, 2007

Last NPPES UpdateJune 18, 2010

✔ NPI 1770794737 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers

Taxonomy Code174400000X

License✔ Licensed in MI · BK027608

Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

22250 PROVIDENCE DR, Southfield, MI 48075

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Other Identifiers 3

Medicare UPINB44824MI

Medicare ID-Type Unspecified1437195013MI

Medicaid1059871MI

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company.Insurance ›

Other Providers at the Same Location NPPES 20

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

MARCY L EPSTEIN PHARMD

Pharmacist

22250 PROVIDENCE DR
SOUTHFIELD, MI 48075

Oakland County (248) 849-3945

BRASWELL DRUE DEEN MD

Family Medicine

22250 PROVIDENCE DR, 5TH FLOOR.FL 5
SOUTHFIELD, MI 48075

Oakland County (248) 849-3441

DR. ALASDAIR I.L. MCKENDRICK M.D.

Colon & Rectal Surgery

22250 PROVIDENCE DR, SUITE 208
SOUTHFIELD, MI 48075

Oakland County (248) 557-8780

DR. FREDDY R SOSA M.D.

Internal Medicine (Gastroenterology)

22250 PROVIDENCE DR, SUITE 703
SOUTHFIELD, MI 48075

Oakland County (248) 569-1770

JEFFEREY E MICHAELSON MD

Orthopaedic Surgery

22250 PROVIDENCE DR, SUITE 401
SOUTHFIELD, MI 48075

Oakland County (866) 974-2673

LAMAURICE H GARDNER PSYD

Psychologist (Clinical)

22250 PROVIDENCE DR, SUITE 207
SOUTHFIELD, MI 48075

Oakland County (313) 576-1000

KATHERINE CYBINSKI D.O.

Family Medicine

22250 PROVIDENCE DR, SUITE 500
SOUTHFIELD, MI 48075

Oakland County (248) 849-3441

RALPH DONALD PEARLMAN MD

Colon & Rectal Surgery

22250 PROVIDENCE DR, STE #702
SOUTHFIELD, MI 48075

Oakland County (248) 557-9650

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 Southfield Neurological Assoc PC's NPI number?

The NPI number for Southfield Neurological Assoc PC is 1770794737. It was assigned to this organization in the NPPES registry on May 24, 2007.

Where is Southfield Neurological Assoc PC located?

Southfield Neurological Assoc PC is located at 22250 Providence Dr Suite 402, Southfield, MI 48075. The listed phone number is (248) 559-3150.

What is Southfield Neurological Assoc PC's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

What insurance does Southfield Neurological Assoc PC accept?

Health plans from Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Southfield Neurological Assoc PC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Southfield Neurological Assoc PC was last updated on June 18, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.