Active NPI
Neuron PLLC
- Neurology with Special Qualifications in Child Neurology Physician
- Jacksonville, FL
National Provider Identifier
1114734209
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology with Special Qualifications in Child Neurology Physician
- Legal business name
- NEURON PLLC
- Practice address
- 2601 University Blvd W
Jacksonville, FL 32217-2112 - Phone
- (904) 274-6040
- NPI assigned
- Dec 12, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Rubina Bakerywala, MD
- Title
- MD
- Phone
- (904) 274-6040
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology with Special Qualifications in Child Neurology Physician | 2084N0402X | Primary |
Addresses
Primary practice location
2601 University Blvd W
Jacksonville, FL 32217-2112
Mailing address
2601 University Blvd W
Jacksonville, FL 32217-2112
Phone (904) 274-6040
National Provider Directory
National Provider DirectoryLocations
2604 University Blvd W
Jacksonville, FL 32217
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Neurology with Special Qualifications in Child Neurology Physician
- Jacksonville, FL
- NPI 1861682940
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1733961600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1738108800000",
"number": "1114734209",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2601 UNIVERSITY BLVD W",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322172112",
"telephone_number": "904-274-6040"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2601 UNIVERSITY BLVD W",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322172112",
"telephone_number": "904-274-6040"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NEURON PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-12-12",
"last_updated": "2025-01-29",
"certification_date": "2025-01-29",
"status": "A",
"authorized_official_last_name": "BAKERYWALA",
"authorized_official_first_name": "RUBINA",
"authorized_official_title_or_position": "MD",
"authorized_official_telephone_number": "904-274-6040",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "2084N0402X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jacksonville, FL
- Neurology Clinic of Jacksonville LLC
- Neurology Partners, P.a.
- Neurology Partners, PA
- Neurology Services of Florida LLC
- Neurology Specialists of Jacksonville PA
- Neuronova, LLC
- Neuropsychology Consultants of North Florida Inc
- Neurospine Florida PA
- Neurosurgical Associates of North Florida Inc.
- Neurosursery & Orthopedic Institute of Florida LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.