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: October 18, 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.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Southfield Neurological Assoc Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Southfield Neurological Assoc PC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Bruce Kole, MD

Neurology

NPI 1437195013

22250 PROVIDENCE DR SUITE 402
Southfield, MI 48075

(248) 559-3150

✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

Is Southfield Neurological Assoc PC enrolled in Medicare?

Yes. Southfield Neurological Assoc PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Southfield Neurological Assoc PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Neurology) reassigns their Medicare billing to Southfield Neurological Assoc PC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Southfield Neurological Assoc PC accept?

Health plans from Blue Care Network of Michigan 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.