Active NPI
Charles B. Neal, D.C.
- Neurology Chiropractor
- Pensacola, FL
National Provider Identifier
1023033453
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Chiropractor
- License
- CH0003725
- Practice address
- 2629 Creighton Rd Ste 1
Pensacola, FL 32504-7343 - Phone
- (850) 479-2700
- Fax
- (850) 478-1631
- NPI assigned
- Jul 13, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Chiropractor | 111NN0400X | CH0003725 | FL | Primary |
Addresses
Primary practice location
2629 Creighton Rd Ste 1
Pensacola, FL 32504-7343
Mailing address
2629 Creighton Rd Ste 1
Pensacola, FL 32504-7343
Phone (850) 479-2700
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CH0003725 | Other | FL | STATE LICENSE |
| 593484706 | Other | FL | TAX ID |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Neal Clinic Comprehensive Healthcare, P.L. | Neurology | Current | Accepting new patients |
Locations
2629 Creighton Rd
Ste 1
Pensacola, FL 32504
Phone (850) 479-2700
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152748800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1266364800000",
"number": "1023033453",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2629 CREIGHTON RD STE 1",
"city": "PENSACOLA",
"state": "FL",
"postal_code": "325047343",
"telephone_number": "850-479-2700",
"fax_number": "850-478-1631"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2629 CREIGHTON RD STE 1",
"city": "PENSACOLA",
"state": "FL",
"postal_code": "325047343",
"telephone_number": "850-479-2700",
"fax_number": "850-478-1631"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NEAL",
"first_name": "CHARLES",
"middle_name": "B.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-13",
"last_updated": "2010-02-17",
"status": "A"
},
"taxonomies": [
{
"code": "111NN0400X",
"taxonomy_group": "",
"desc": "Chiropractor, Neurology",
"state": "FL",
"license": "CH0003725",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "CH0003725",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TAX ID",
"identifier": "593484706",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Pensacola, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.